Doctor Name: | DR. FREDERICK E. TAYLOR |
NPI Number: | 1184620353 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS3601 |
Business Practice Address: | 10141 Big Bend Rd. Suite 101 Riverview, FL - 335787419 |
Business Phone Number: | 8133971270 |
Business Fax Number: | 8133971271 |
Mailing Address: | Po Box 10744, CLEARWATER |
State: | FL |
Postal Code: | 337578744 |
Phone Number: | 7275320002 |
Fax Number: | 7272664928 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS3601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |