Healthcare Provider Details

I. General information

NPI: 1497184865
Provider Name (Legal Business Name): TARAN TAYLOR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 COMMERCE BLVD STE 6
OPELOUSAS LA
70570-2063
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 337-381-2033
  • Fax:
Mailing address:
  • Phone: 337-381-2033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.200566.RX
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: