Provider Demographics
NPI:1598809014
Name:SAYLOR MEDICAL GROUP
Entity Type:Organization
Organization Name:SAYLOR MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DOM, PHD
Authorized Official - Phone:727-492-3040
Mailing Address - Street 1:900 COVE CAY DR APT 2H
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-1214
Mailing Address - Country:US
Mailing Address - Phone:727-492-3040
Mailing Address - Fax:
Practice Address - Street 1:1200 S PINELLAS AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3728
Practice Address - Country:US
Practice Address - Phone:727-492-3040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP566171100000X, 174400000X, 175L00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Not Answered174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Not Answered175L00000XOther Service ProvidersHomeopathGroup - Multi-Specialty
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/Center