Healthcare Provider Details

I. General information

NPI: 1528865169
Provider Name (Legal Business Name): TAYLOR ROBIN BUZZARD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2025
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 3RD ST S UNIT 1506
SAINT PETERSBURG FL
33701-4277
US

IV. Provider business mailing address

330 3RD ST S UNIT 1506
SAINT PETERSBURG FL
33701-4277
US

V. Phone/Fax

Practice location:
  • Phone: 330-383-3886
  • Fax:
Mailing address:
  • Phone: 330-383-3886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11034145
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: