Individual
DR. MAREK W TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(786) 300-6060
Mailing address
812 NE 82ND TER, MIAMI, FL 33138-4114
(786) 300-6060
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
HSE19077
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
TRN22476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009970500
—
FL
Enumeration date
01/21/2006
Last updated
02/01/2016
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