Healthcare Provider Details

I. General information

NPI: 1831776434
Provider Name (Legal Business Name): TAYLOR FLORIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEADOWS RD
BOCA RATON FL
33486-2304
US

IV. Provider business mailing address

6023 BAYVIEW DR
FORT LAUDERDALE FL
33308-2229
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-4600
  • Fax:
Mailing address:
  • Phone: 954-253-1596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: