MEDICARE: TAYLOR FISHER

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	363LF0000X	Family Nurse Practitioner	APRN11031134	FL

General Provider Information

NPI Number	:	1578239901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR FISHER

Provider Business Mailing Address
First Line	:	12211 REGENCY VILLAGE DR STE 9
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-7813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12211 REGENCY VILLAGE DR STE 9
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-7813
Country	:	US
Telephone Number	:	904-257-3886
Fax Number	:

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

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	06/11/2026

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Directions to “ TAYLOR FISHER ” Practice Location

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