Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 57006970 | OH |
N | 208600000X | Surgeon | 57006970 | OH |
N | 208200000X | Surgeon | N6709 | TX |
N | 208600000X | Surgeon | N6709 | TX |
Y | 2086S0120X | Pediatric Surgery | ME116911 | FL |
N | 2086S0120X | Pediatric Surgery | N6709 | TX |
NPI | 1144423088 |
---|---|
Provider Name | Janice Abigail Taylor |
First Address | Philadelphia, PA 19101-3833 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 14/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009465100 | (05) | FL |