Healthcare Provider Details

I. General information

NPI: 1053725069
Provider Name (Legal Business Name): HANNAH TAFT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1157 MISSOURI AVE N
LARGO FL
33770-1815
US

IV. Provider business mailing address

1157 MISSOURI AVE N
LARGO FL
33770-1815
US

V. Phone/Fax

Practice location:
  • Phone: 727-214-2079
  • Fax:
Mailing address:
  • Phone: 727-214-2079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME163247
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: