Individual
DR. ROBERT MICHAEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5070 MINTON RD NW, STE 5, PALM BAY, FL 32907-1157
(941) 484-1510
(941) 484-1071
Mailing address
5070 MINTON RD NW, STE 3, PALM BAY, FL 32907-1157
(941) 955-0360
(941) 955-9806
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
D33428
MD
207N00000X
Dermatology Physician
Primary
ME112983
FL
207ND0900X
Dermatopathology Physician
D33428
MD
207ND0900X
Dermatopathology Physician
ME112983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406731200
—
MD
01
—
GP501Y
MEDICARE PTAN
FL
Enumeration date
09/25/2006
Last updated
09/07/2016
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