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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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