James Arlo Taylor

Individual provider Active NPI Registered Dietitian · Mascotte, FL

NPI 1508722505 · NPPES record last updated Jan 2, 2026

Key facts

NPI
1508722505
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
ND9676 (FL)
Practice address
424 Quayside Ave
Mascotte, FL 34753-9428
Phone
(904) 557-6404
NPI assigned
Jan 2, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ND9676FLMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X ND9676 FL Yes

Addresses

Primary practice location

424 Quayside Ave
Mascotte, FL 34753-9428

Mailing address

424 Quayside Ave
Mascotte, FL 34753-9428
Phone (904) 557-6404

Other providers in Mascotte, FL

All providers in Mascotte, FL · Registered Dietitian in Florida

Sources for this page

Verify at the official NPI Registry.