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Individual

MR. CEDRIC LEON TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
7505 NE 2ND AVE, MIAMI, FL 33138-4905
(305) 759-5262
(305) 756-5838
Mailing address
5901 SW 62ND TERRACE, MIAMI, FL 33143
(786) 256-1439
(305) 756-5838

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
765163500
FL

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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