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Organization
RICHARD TAYLOR
Active
Organization
RICHARD TAYLOR
Active
Parent organization
RICHARD TAYLOR
Other names
Richard Taylor
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD TAYLOR
Authorized official
RICHARD TAYLOR (OWNER)
(305) 944-8565
Entity
Organization
Contact information
Practice address
1400 NE MIAMI GARDENS DR, 202, NORTH MIAMI BEACH, FL 33179-4845
(305) 944-8565
(305) 944-8388
Mailing address
1400 NE MIAMI GARDENS DR, 202, NORTH MIAMI BEACH, FL 33179-4845
(305) 944-8565
(305) 944-8388
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME0034801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065244000
—
FL
01
—
95383
MEDICARE PTAN
FL
Enumeration date
06/24/2014
Last updated
01/08/2015
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