Provider Demographics
NPI:1699263962
Name:ARANGO, TAYLOR ANN WARD
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ANN WARD
Last Name:ARANGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ANN
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2191 9TH AVE N SUITE 100
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713
Mailing Address - Country:US
Mailing Address - Phone:727-528-0321
Mailing Address - Fax:
Practice Address - Street 1:2191 9TH AVE N SUITE 100
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713
Practice Address - Country:US
Practice Address - Phone:727-528-0321
Practice Address - Fax:727-498-8832
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA12004363A00000X
FLPA9111004363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant