Mitchell D Taylor in Ft Lauderdale - Physician Assistant

Mitchell D Taylor - NPI 1598713083

Mitchell D Taylor is a Physician Assistant in Ft Lauderdale, Florida. Mitchell D Taylor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mitchell D Taylor is 1598713083. The last update date is 2022-04-22.

Mitchell D Taylor's current location address is 3350 Nw 53rd St Ste 102, Ft Lauderdale, Florida. You can contact this provider via phone number 8668167846 and fax number 9544582928. The mailing address for Mitchell D Taylor is 3350 Nw 53rd St Ste 102, Ft Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell D Taylor
Address 3350 Nw 53rd St Ste 102, Ft Lauderdale, Florida
Phone Number 8668167846
Fax Number 9544582928
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1598713083
Provider Enumeration Date 2006-05-05
Last Updated Date 2022-04-22

Provider Mailing Address Detail

Address 3350 Nw 53rd St Ste 102
City Ft Lauderdale
State Florida (FL)
Post Code 333096354
Phone Number 8668167846
Fax Number 9544582928

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9103007
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DA5786 FL RAILROAD MEDICARE GROUP NUMBER
1497748743 FL GROUP NPI NUMBER / LRHSI

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FAQs about Mitchell D Taylor

What is the unique 10-digit identification code assigned to Mitchell D Taylor by the Centers for Medicare & Medicaid Services?

The Mitchell D Taylor has been issued the NPI (National Provider Identifier) 1598713083, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Mitchell D Taylor's physical address?

The Mitchell D Taylor is physically located at 3350 Nw 53Rd St Ste 102, in the city of Ft Lauderdale, FL, with the postal code 333096354.

What is the Mitchell D Taylor's area of specialization and corresponding taxonomy classification?

The Mitchell D Taylor's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1598713083 assigned to Mitchell D Taylor?

The Mitchell D Taylor was issued its 1598713083 on 2006-05-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mitchell D Taylor most recently updated or revised?

The information pertaining to Mitchell D Taylor, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-22.

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