Individual
DR. RICHARD CLEMENS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(909) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(909) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-00574
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2018-00574
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2018-00574
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
61883
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME146304
FL
Other
Enumeration date
08/01/2013
Last updated
10/21/2020
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