Individual
MR. TAYLOR BROOKS DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
515 PALM COAST PKWY SW, SUITE 6/7, PALM COAST, FL 32137-4739
(386) 951-3044
(866) 610-0580
Mailing address
35 VILLAGE DR, FLAGLER BEACH, FL 32136-3484
(386) 569-3346
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
08/19/2016
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