Individual provider Active NPI

Jacqueline Ann Taylor, MD

  • Internal Medicine Physician
  • Seffner, FL
National Provider Identifier
1164496584
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92510 Issued in FL
Practice address
770 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534
Phone
(813) 654-7005
Fax
(813) 654-1050
NPI assigned
Feb 14, 2006
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME92510 FL Primary

Addresses

Primary practice location

770 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534

Mailing address

3838 W Neptune St Ste D5
Tampa, FL 33629-5841
Phone (727) 824-0780

Other names 1

  • Jacqueline Ann Sue Wah Sing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000124 FL Practitioner - Internal Medicine 3072411339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1120 10TH St E
Optum Palmetto
Palmetto, FL 34221-4134
Phone (941) 847-7903

1291 Bloomingdale Ave
Valrico, FL 33596-6168
Phone (813) 653-1880

1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895

1989 W Lumsden Rd
Optum Brandon
Brandon, FL 33511-8821
Phone (813) 653-3111

208 Crystal Grove Blvd
Lutz, FL 33548-6460
Phone (813) 949-4991

2424 Manatee Ave W
100 Optum Riverfront
Bradenton, FL 34205-4954
Phone (941) 847-7920

2940 S US Hwy 1
Suite C11 Wellmed at Fort Pierce
Fort Pierce, FL 34982-8143
Phone (772) 466-6855

3010 W Azeele St
100 Optum Hyde Park
Tampa, FL 33609-3577
Phone (813) 251-0194

4740 Exploration Ave
Wellmed at SE Lakeland
Lakeland, FL 33812-3319
Phone (863) 666-9020

507 W Alexander St
Wellmed at Plant City
Plant City, FL 33563-7136
Phone (813) 754-3504

781 Cypress Village Blvd
Sun City Center, FL 33573-6801
Phone (813) 633-3600

8342 US Hwy 301 N
Optum Parrish
Parrish, FL 34219-8653
Phone (941) 729-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME92510FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Nov 1, 2025 Accepting new patients
Optumcare Florida LLC Internal Medicine CurrentSince May 2, 2005 Accepting new patients
Optumcare Florida, LLC CurrentSince May 2, 2005 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Metro Health Care Center P.C. Past Accepting new patients
Tricity Medical Centers, P.C. Past Accepting new patients

Locations

5534 Cortez Rd W
Bradenton, FL 34210
Phone (941) 757-2100

1082 E Brandon Blvd
Brandon, FL 33511
Phone (813) 689-9900

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

770 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584
Phone (813) 654-7005

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

3838 W Neptune St
Ste D5
Tampa, FL 33629
Phone (813) 837-0221

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

7524 N Himes Ave
Tampa, FL 33614
Phone (813) 514-8338

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jacqueline.taylor@wellmed.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1164496584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 W NEPTUNE ST STE D5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295841",
            "telephone_number": "727-824-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W DR MARTIN LUTHER KING JR BLVD",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844534",
            "telephone_number": "813-654-7005",
            "fax_number": "813-654-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SUE WAH SING",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seffner, FL

Sources for this page

Verify at the official NPI Registry.