MEDICARE: LATARA TAYLOR FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F406170	NY
2	363LF0000X	Family Nurse Practitioner	11007178	FL
3	363LF0000X	Family Nurse Practitioner	1081153	TX
4	363LF0000X	Family Nurse Practitioner	CAPN0003970	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316573173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATARA TAYLOR FNP-C

Provider Business Mailing Address
First Line	:	14518 CHERRY LAKE DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-5140
Country	:	US
Telephone Number	:	904-200-8978
Fax Number	:

Provider Business Practice Location Address
First Line	:	14518 CHERRY LAKE DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-5140
Country	:	US
Telephone Number	:	904-629-9164
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2020
Last Update Date	:	03/04/2026

Similar Medicare Providers

1033972047 — SERENITY PSYCHIATRY GROUP INCORPORATED
Practice Location Address:

14518 CHERRY LAKE DR W
JACKSONVILLE, FL
32258-5140

Practice Phone: 904-200-8978
Practice Fax: 904-644-5443

1922265396 — MRS. KIMBERLY EDWARDS BURGIN LPN
Practice Location Address:

2946 CAPPER RD
JACKSONVILLE, FL
32218-5140

Practice Phone: 904-864-6672
Practice Fax:

1902183866 — MS. SARAH ELLEN BURTON L.M.T.
Practice Location Address:

5140 BLANDING BLVD
JACKSONVILLE, FL
32210-7894

Practice Phone: 904-759-6354
Practice Fax:

1134583602 — TAYLOR MICKELSON ATC
Practice Location Address:

5140 GATE PKWY , 2104
JACKSONVILLE, FL
32256-0232

Practice Phone: 501-282-4145
Practice Fax:

1730952110 — CARE2HEALTH LLC
Practice Location Address:

5140 GATE PKWY APT 2204
JACKSONVILLE, FL
32256-0234

Practice Phone: 904-613-4470
Practice Fax:

1861751026 — IRENE GOMEZ APRN
Practice Location Address:

14540 OLD SAINT AUGUSTINE RD STE 2403
JACKSONVILLE, FL
32258-7418

Practice Phone: 904-253-6910
Practice Fax: 904-253-6964

Directions to “ LATARA TAYLOR FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.