1871688648 NPI number — MRS. RAMONA HUNT TAYLOR M.D.

Table of content: MRS. RAMONA HUNT TAYLOR M.D. (NPI 1871688648)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871688648 NPI number — MRS. RAMONA HUNT TAYLOR M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR
Provider First Name:
RAMONA
Provider Middle Name:
HUNT
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUNT
Provider Other First Name:
RAMONA
Provider Other Middle Name:
RAYMONDE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1871688648
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13506 SUMMERPORT VILLAGE PARKWAY
Provider Second Line Business Mailing Address:
SUITE 223
Provider Business Mailing Address City Name:
WINDERMERE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34786
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-496-9858
Provider Business Mailing Address Fax Number:
407-614-1600

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13506 SUMMERPORT VILLAGE PARKWAY
Provider Second Line Business Practice Location Address:
SUITE 223
Provider Business Practice Location Address City Name:
WINDERMERE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34786
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-496-9858
Provider Business Practice Location Address Fax Number:
407-614-1600
Provider Enumeration Date:
10/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  D64390 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: ME71544 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G72207 . This is a "UPIN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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