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Individual

TAYLOR JOSEPH HATHAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3200 W QUAYSIDE DR, HOLLYWOOD, FL 33026-3789
(754) 247-1213
Mailing address
2114 N FLAMINGO RD # 2100, PEMBROKE PINES, FL 33028-3501
(754) 247-1213

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS14641
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020815500
FL
Enumeration date
06/06/2014
Last updated
01/24/2025
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