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Organization

TAYLOR THERAPY

Active
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Organization

TAYLOR THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. M. (MARVIN) WESLEY TAYLOR MS CCC-SLP (DIRECTOR/OWNER)
(305) 967-6746
Entity
Organization

Contact information

Practice address
11555 HERON BAY BLVD, STE 200, CORAL SPRINGS, FL 33076-3360
(954) 283-0406
Mailing address
4715 NW 119TH AVE, CORAL SPRINGS, FL 33076-3534
(954) 345-8850

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11129
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003581800
—
FL
Enumeration date
01/07/2013
Last updated
05/22/2015
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