Individual
EILEEN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T RPA/RA
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5916
(305) 325-4362
Mailing address
324 NW 107TH AVE, PEMBROKE PINES, FL 33026-4068
(954) 993-5855
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
—
—
247100000X
Radiologic Technologist
Primary
CRT63524
FL
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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