Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME131504 | FL |
NPI | 1053605006 |
---|---|
Provider Name | Dr. Brandon Taylor |
First Address | Palm Harbor, FL 34684-1109 |
Second Address | Palm Harbor, FL 34684 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 22/05/2018 |