Individual provider · Type 1 NPI

Tayla Mae Kavanaugh, PA-C

Surgical Physician Assistant · Dunedin, FL

NPI number 1013292424 Active

Practice location

601 Main St
Dunedin, FL 34698-5848

Call (727) 733-1111 Map

Mailing address

430 3rd Ave S, Apartment #137
St. Petersburg, FL 33701-4144

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9106206 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1013292424

Tayla Mae Kavanaugh, PA-C's National Provider Identifier is 1013292424, issued on Oct 17, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dunedin, FL. The record was last updated on Feb 18, 2016.