Healthcare Provider Details

I. General information

NPI: 1699516708
Provider Name (Legal Business Name): TAYLOR ANNE HORNER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAYLOR ANNE CUMMINGS PA-C

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N DACIE PT
LECANTO FL
34461-8399
US

IV. Provider business mailing address

18228 N US HIGHWAY 41
LUTZ FL
33549-4400
US

V. Phone/Fax

Practice location:
  • Phone: 813-321-1786
  • Fax: 813-321-1787
Mailing address:
  • Phone: 813-321-1786
  • Fax: 813-321-1787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9119005
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: