Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2018-00574 | NC |
N | 111NI0900X | Internist | 2018-00574 | NC |
N | 207RG0300X | Geriatric Medicine | 2018-00574 | NC |
N | 207RH0002X | Hospice and Palliative Medicine | 2018-00574 | NC |
N | 207RH0002X | Hospice and Palliative Medicine | 61883 | MN |
Y | 207RH0002X | Hospice and Palliative Medicine | ME146304 | FL |
NPI | 1235561259 |
---|---|
Provider Name | Dr. Richard Clemens Taylor |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2013 |
Last Update Date | 21/10/2020 |