Amanda R Taylor in Jacksonville - Physician Assistant

Amanda R Taylor - NPI 1700913472

Amanda R Taylor is a Physician Assistant in Jacksonville, Florida. Amanda R Taylor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amanda R Taylor is 1700913472. The last update date is 2022-10-31.

Amanda R Taylor's current location address is 5191 First Coast Tech Pkwy, Jacksonville, Florida. You can contact this provider via phone number 9042233321 and fax number 9042232169. The mailing address for Amanda R Taylor is 5191 First Coast Tech Pkwy, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Amanda R Taylor
Address 5191 First Coast Tech Pkwy, Jacksonville, Florida
Phone Number 9042233321
Fax Number 9042232169
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1700913472
Provider Enumeration Date 2007-02-28
Last Updated Date 2022-10-31

Provider Mailing Address Detail

Address 5191 First Coast Tech Pkwy
City Jacksonville
State Florida (FL)
Post Code 322240609
Phone Number 9042233321
Fax Number 9042232169

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA1020
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
514238 KY ANTHEM- CMA- CHILDREN'S ORTHPA
710001496 KY MEDICAID KY- CHILDREN'S ORTHOP
2847841000 KY PASSPORT ADVANTAGE- CHILDREN'S
000051983D KY HUMANA- NORTON CHILDREN'S ORTH
7985259 KY CIGNA- NORTON CHILDREN'S ORTHO
50015087 KY PASSPORT- CHILDREN'S ORTHOPAED
611276316-046 KY TRICARE- CHILDREN'S ORTHOPAEDI

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FAQs about Amanda R Taylor

What is the unique provider identifier assigned to Amanda R Taylor?

The Amanda R Taylor has been issued the NPI (National Provider Identifier) 1700913472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Amanda R Taylor's facilities are geographically located?

The facilities of Amanda R Taylor are physically situated at the following location: 5191 First Coast Tech Pkwy, Jacksonville, FL, 322240609.

What is Amanda R Taylor's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Amanda R Taylor is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date was the 1700913472 assigned to Amanda R Taylor?

The Amanda R Taylor was issued its 1700913472 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Amanda R Taylor last refreshed?

The information related to the Amanda R Taylor, including its address, specialty, and other relevant details, was last updated on 2022-10-31.

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