Doctor Name: | DR. JORDAN M. TAYLOR |
NPI Number: | 1275858094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 20900 Biscayne Blvd Aventura, FL - 331801407 |
Business Phone Number: | 3055856970 |
Business Fax Number: | 3055456501 |
Mailing Address: | 1613 N. Harrison Parkway, Suite 200, Mailstop Sh-9a SUNRISE |
State: | FL |
Postal Code: | 333232896 |
Phone Number: | 9548382371 |
Fax Number: | 9548511746 |
NPI Enumeration Date: | 04/05/2010 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |