JACQUELINE ANN TAYLOR (NPI# 1164496584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164496584 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANN TAYLOR |
| Other Name | JACQUELINE ANN SUE WAH SINF |
| Credential | MD |
| Practice Address |
5534 Cortez Rd W Bradenton FL 34210-2817 |
| Mailing Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 9417572100 |
| Practice Fax Number | 9417572101 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME92510 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 275470700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191944 | Jacqueline Taylor | Community Health Worker | 700 W Judge Perez Dr Ste 204, Chalmette, LA 70043-4872 | 2018-07-24 |
| 1114424272 | Jacqueline Marie Taylor | Counselor | 1769 E Moody Blvd, Bunnell, FL 32110-6355 | 2018-04-06 |
| 1841413648 | Jacqueline M Taylor | Social Worker | 5720 Nw 81st Ave, Tamarac, FL 33321-4525 | 2007-04-10 |
| 1972586113 | Jacqueline L Taylor | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2005-11-22 |
| 1053951624 | Jacqueline Taylor | Residential Treatment Facility, Emotionally Disturbed Children | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-01-13 |
| 1902441827 | Jacqueline Taylor | Nurse Practitioner | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2019-11-14 |
| 1932670858 | Jacqueline Taylor | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2018-12-17 |
| 1053813691 | Jacqueline Taylor | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-02-28 |
| 1174049894 | Jacqueline Michele Taylor | Social Worker | 24600 Northwestern Hwy, Southfield, MI 48075-2471 | 2017-08-15 |
| 1962927764 | Jacqueline Elaine Taylor | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2017-08-14 |
| Street Address |
5534 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34210-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669445797 | Stephen Shanklin | Family Medicine | 5534 Cortez Rd W, Bradenton, FL 34210-2817 | 2006-02-09 |
| 1043780521 | Jimmy Duy Nguyen | Nurse Practitioner | 5534 Cortez Rd W, Bradenton, FL 34210-2817 | 2018-11-28 |
| 1174059406 | Yelenis Fuertes Yanes | Internal Medicine | 5534 Cortez Rd W, Bradenton, FL 34210-2817 | 2017-05-05 |
| 1487026068 | Niki Lynn Derrick | Nurse Practitioner | 5534 Cortez Rd W, Bradenton, FL 34210-2817 | 2015-10-22 |
| 1972997823 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 5534 Cortez Rd W, Bradenton, FL 34210-2817 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
| 1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
| 1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
| Find all providers in zip 34210 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809043 | Universal Wellness Concepts | Internal Medicine | 821 12th St W, Bradenton, FL 34205-7416 | 2019-06-07 |
| 1942740170 | East County Internal Medicine Pa | Internal Medicine | 6050 State Road 70 E Unit B, Bradenton, FL 34203-9700 | 2017-03-07 |
| 1265884795 | Bps Tampa, LLC | Internal Medicine | 6311 Atrium Drive, Suite 206, Bradenton, FL 34202-4143 | 2016-07-08 |
| 1902281264 | Delta Medical Associates, LLC | Internal Medicine | 4606 62nd Ave E, Bradenton, FL 34203-6306 | 2015-07-28 |
| 1609297555 | Eldercare of Sarasota, Pllc | Internal Medicine | 807 Whooping Crane Ct, Bradenton, FL 34212-5234 | 2013-12-19 |
| 1790028348 | Florida Medical Specialists | Internal Medicine | 5601 21st Ave W Ste D, Bradenton, FL 34209-5642 | 2013-04-02 |
| 1093001745 | Regina Irene Travis | Internal Medicine | 4642 Balboa Park Loop, Bradenton, FL 34211-4960 | 2011-06-21 |
| 1205148491 | Shaan Kunwar | Internal Medicine | 6050 State Road 70 East, Suite B, Bradenton, FL 34203 | 2010-07-05 |
| 1770740540 | Bradenton Missionary Village, Inc | Internal Medicine | 1200 Aurora Blvd, Bradenton, FL 34212-9750 | 2008-05-20 |
| 1306029301 | Integrative Medical Group | Internal Medicine | 6040 53rd Ave E, Suite D, Bradenton, FL 34203-9720 | 2007-12-12 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.