Individual
TAYLOR MARIE BUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 SE 17TH ST, UNIT B, FORT LAUDERDALE, FL 33316
(954) 687-1846
Mailing address
12830 NW 21ST ST, PEMBROKE PINES, FL 33028-2534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9118604
FL
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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