Taylor, Brad T
Taylor, Brad T is an individual health care provider with primary practice located at 725 W Granada Blvd Suite 22, Ormond Beach FL 32174-9435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Taylor, Brad T can be contacted via phone (386) 788-2300.Contact Information
Primary practice address
725 W Granada Blvd Suite 22
Ormond Beach FL 32174-9435
Phone: (386) 788-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9109919 | Florida |
Profile Details
| NPI number | 1679011480 |
|---|---|
| LBN Legal business name | Taylor, Brad T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2017 |
| Last updated | Feb 1st, 2017 - about 9 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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