Taylor, Terese A
Taylor, Terese A is an sole proprietor health care provider with primary practice located at 4202 Del Prado Blvd S , Cape Coral FL 33904-7166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Taylor, Terese A can be contacted via phone (239) 540-9918.Contact Information
Primary practice address
4202 Del Prado Blvd S
Cape Coral FL 33904-7166
Phone: (239) 540-9918
Fax: (239) 540-9192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME92674 | Florida |
Profile Details
| NPI number | 1881676054 |
|---|---|
| LBN Legal business name | Taylor, Terese A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jan 3rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881676054 | NPPES |
| Florida | Other | 000013683G | STAYWELL |
| Florida | Other | 01599 | STAYWELL |
| Florida | MEDICAID | 272932600 | STAYWELL |
| Florida | Other | 298186 | STAYWELL |
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