Provider Demographics
NPI:1568737476
Name:DRS TAYLOR AND ZANETTI P A
Entity Type:Organization
Organization Name:DRS TAYLOR AND ZANETTI P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-629-3009
Mailing Address - Street 1:2050 E SILVER SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6901
Mailing Address - Country:US
Mailing Address - Phone:352-629-3009
Mailing Address - Fax:352-620-2812
Practice Address - Street 1:2050 E SILVER SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6901
Practice Address - Country:US
Practice Address - Phone:352-629-3009
Practice Address - Fax:352-620-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1323152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19478Medicare PIN