Individual
DR. LEIGHTON ANDREW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2402 FRIST BLVD, SUITE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Mailing address
293 NW PEACOCK BLVD STE 201, PORT ST LUCIE, FL 34986-2222
(772) 204-8870
(772) 204-8873
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME71688
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME71688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253182800
—
FL
Enumeration date
01/29/2007
Last updated
01/04/2022
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