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Individual

MR. ROBERT E TAYLOR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8905 HARVEY LN, PORT RICHEY, FL 34668-5212
(727) 848-2071
(727) 848-2071
Mailing address
8905 HARVEY LN, PORT RICHEY, FL 34668-5212
(727) 848-2071
(727) 848-2071

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906028
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142686900
FL
Enumeration date
10/08/2012
Last updated
10/08/2012
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