Taylor, Thomas M

Taylor, Thomas M is an sole proprietor health care provider with primary practice located at 3514 W Bay To Bay Blvd Suite 3, Tampa FL 33629-7018. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Taylor, Thomas M can be contacted via phone (813) 440-2462.

Contact Information

Primary practice address
3514 W Bay To Bay Blvd Suite 3 Tampa FL 33629-7018
Phone: (813) 440-2462
Fax: (813) 877-6556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0064670 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0064670 Florida

Profile Details

NPI number 1568464931
LBN Legal business name Taylor, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Sep 18th, 2020 - about 6 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 1568464931 NPPES
Florida MEDICAID 377023100

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