Individual
GREGORY SCOTT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1874 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Mailing address
1874 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AK132Z
FLORIDA MEDICARE MFAA-COASTAL PAIN LINKED TO 33576B
FL
01
—
Z154G
FLORIDA BCBS
FL
Enumeration date
10/26/2006
Last updated
05/10/2011
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