Individual
JACQUELINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5361 NW 22ND AVE, MIAMI, FL 33142-8035
(305) 835-1586
(305) 418-2756
Mailing address
5361 NW 22ND AVE, MIAMI, FL 33142-8035
(305) 835-1586
(305) 418-2756
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693351300
—
FL
Enumeration date
06/05/2008
Last updated
06/05/2008
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