Taylor, Tiajuana

Taylor, Tiajuana is an sole proprietor health care provider with primary practice located at 4410 Williamsburg Ave , Jacksonville FL 32208-1745. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, Agencies / Community/Behavioral Health, Respite Care Facility / Respite Care. Agencies / Community/Behavioral Health is her primary health care specialty. Taylor, Tiajuana can be contacted via phone (904) 765-2988.

Contact Information

Primary practice address
4410 Williamsburg Ave Jacksonville FL 32208-1745
Phone: (904) 765-2988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X RT13595 Florida
Agencies / Community/Behavioral Health 251S00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1679015903
LBN Legal business name Taylor, Tiajuana
Credentials Registered Respiratory Therapist (RRT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2016
Last updated Nov 17th, 2016 - about 10 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 1679015903 NPPES
Florida MEDICAID 016673400

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