MEDICARE: TAYLOR ALEXIS SCHWARTZ

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	2085R0202X	Diagnostic Radiology Physician	OS21577	FL

General Provider Information

NPI Number	:	1356801617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ALEXIS SCHWARTZ

Provider Business Mailing Address
First Line	:	796 NE 208TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-1378
Country	:	US
Telephone Number	:	954-907-5565
Fax Number	:

Provider Business Practice Location Address
First Line	:	8903 GLADES RD STE H1
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-4023
Country	:	US
Telephone Number	:	561-361-7872
Fax Number	:

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

Provider Enumeration Date	:	03/22/2019
Last Update Date	:	06/30/2025

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