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NPI Code Detail

MEDICARE: TAYLOR A FOSUHENE

MEDICARE: TAYLOR A FOSUHENE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183700000XPharmacy TechnicianRPT64370FL

General Provider Information

NPI Number : 1720608649
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR A FOSUHENE
Provider Business Mailing Address
First Line : 6904 BARRY RD
Second Line :
City : TAMPA
State : FL
Zip : 33634-2916
Country : US
Telephone Number : 904-316-4012
Fax Number :
Provider Business Practice Location Address
First Line : 9202 N FLORIDA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-7906
Country : US
Telephone Number : 813-935-1134
Fax Number : 813-930-6914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2020
Last Update Date : 07/02/2021

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Directions to “ TAYLOR A FOSUHENE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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