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

Taylor Marie Banaszak, PA-C

Individual provider Physician Assistant · NPI 1679341754

Taylor Marie Banaszak, PA-C is a Physician Assistant in Winter Haven, Florida. Qualified in 2023, 3 years ago. Practices with Adventist Health System Sunbelt, Inc, a 209-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
3
Licensed in
FL, NY
In the registry since
2023
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

550 Pope Ave NW
Winter Haven, FL 33881-4679
Phone: (863) 299-2630
Fax: (863) 904-0398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3240 S Florida Ave Ste 101, Lakeland, FL 33803-4574 — (863) 644-7337

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118109 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 030381 (NY)

Record details

NPI number1679341754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Adventist Health System Sunbelt, Inc. — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Winter Haven