Individual
JOCK NEIL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5901 E ROYALTON RD STE 1400, BROADVIEW HEIGHTS, OH 44147-3532
(440) 792-9055
(216) 201-8910
Mailing address
1 INFINITY CORPORATE CENTRE DR STE 160, GARFIELD HEIGHTS, OH 44125-5374
(216) 581-5555
(216) 581-2094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL38312
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35.133468
OH
Other
Enumeration date
06/05/2015
Last updated
11/20/2020
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