Taylor, Peggy Sue

Taylor, Peggy Sue is an individual health care provider with primary practice located at 521 W State Road 434 Suite 204, Longwood FL 32750-4984. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Taylor, Peggy Sue can be contacted via phone (407) 332-6611.

Contact Information

Primary practice address
521 W State Road 434 Suite 204 Longwood FL 32750-4984
Fax: (407) 332-8512
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X ARNP666192 Florida

Profile Details

NPI number 1912940230
LBN Legal business name Taylor, Peggy Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912940230 NPPES
Florida MEDICAID 301973000 34

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