Healthcare Provider Details

I. General information

NPI: 1538020235
Provider Name (Legal Business Name): TAYLOR CAHOON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 S MACDILL AVE STE 129-300
TAMPA FL
33629-8171
US

IV. Provider business mailing address

2325 HONEYBROOK CREEK DR
MELBOURNE FL
32935-7229
US

V. Phone/Fax

Practice location:
  • Phone: 813-563-0596
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11042995
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: