Provider Demographics
NPI:1902410103
Name:VAN WARNER, TAYLOR L (AUD)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:L
Last Name:VAN WARNER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:L
Other - Last Name:TRAFICANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3825 HENDERSON BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-5032
Mailing Address - Country:US
Mailing Address - Phone:813-751-2263
Mailing Address - Fax:813-588-6463
Practice Address - Street 1:3825 HENDERSON BLVD STE 600
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5032
Practice Address - Country:US
Practice Address - Phone:813-751-2263
Practice Address - Fax:813-588-6463
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2359237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter