Provider Demographics
NPI:1700860939
Name:TAYLOR, ADILIA FLORENTINA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ADILIA
Middle Name:FLORENTINA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4861 27TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-1726
Mailing Address - Country:US
Mailing Address - Phone:941-755-0800
Mailing Address - Fax:941-755-1905
Practice Address - Street 1:4861 27TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-1726
Practice Address - Country:US
Practice Address - Phone:941-755-0800
Practice Address - Fax:941-755-1905
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME74027208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL198326OtherSTAYWELL
FL41887OtherBCBS
FL5236675OtherAETNA