Taliaferro, Robert

Taliaferro, Robert is an individual health care provider with primary practice located at 45 Groover Loop Ste 201 , St Augustine FL 32086-6586. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Taliaferro, Robert can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
45 Groover Loop Ste 201 St Augustine FL 32086-6586
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9110760 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110760 Florida

Profile Details

NPI number 1285147447
LBN Legal business name Taliaferro, Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2017
Last updated Jul 28th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285147447 NPPES
Florida MEDICAID 122572900

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