MEDICARE: DR. DEREK M TAYLOR D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	22871	CA
2	111N00000X	Chiropractor	CH13578	FL

General Provider Information

NPI Number	:	1295807519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEREK M TAYLOR D.C.

Provider Business Mailing Address
First Line	:	11382 PROSPERITY FARMS RD STE 225
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3463
Country	:	US
Telephone Number	:	618-671-0205
Fax Number	:

Provider Business Practice Location Address
First Line	:	11382 PROSPERITY FARMS RD STE 225
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3463
Country	:	US
Telephone Number	:	618-671-0205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	12/06/2021

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