Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taylor Bautista, PA-C

Individual provider Physician Assistant · NPI 1528452208

Taylor Bautista, PA-C is a Physician Assistant in Eglin AFB, Florida. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

307 Boatner Rd
Eglin AFB, FL 32542-1302
Phone: (850) 883-9535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1528452208
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 20, 2015
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

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