Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME71466 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME0071466 | FL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | ME71466 | FL |
NPI | 1053373290 |
---|---|
Provider Name | Peter D Taylor |
First Address | Orlando, FL 32806-1215 |
Second Address | Orlando, FL 32806-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 23/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250598300 | (05) | FL |
ME71466 | MEDICAL LICENSE (01) | FL |