Individual
DR. BRENT ROBERT TAYLOR
Active
Individual
DR. BRENT ROBERT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
32031
SC
207N00000X
Dermatology Physician
73661
GA
207N00000X
Dermatology Physician
ME120226
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
73661
GA
207NS0135X
Procedural Dermatology Physician
A124812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012735800
—
FL
Enumeration date
06/30/2009
Last updated
06/07/2021
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