Richardson, Taylor L

Richardson, Taylor L is an individual health care provider with primary practice located at 789 S Federal Hwy , Ft Lauderdale FL 33316-1245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Richardson, Taylor L can be contacted via phone (954) 315-5784.

Contact Information

Primary practice address
789 S Federal Hwy Ft Lauderdale FL 33316-1245
Phone: (954) 315-5784
Fax: (954) 522-0755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9449825 Florida

Profile Details

NPI number 1912412891
LBN Legal business name Richardson, Taylor L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Aug 20th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912412891 NPPES
Florida MEDICAID 023280500

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