Healthcare Provider Details

I. General information

NPI: 1124947213
Provider Name (Legal Business Name): TAURUS NUTRITION KITCHEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 NW 21ST PL
CAPE CORAL FL
33993-2930
US

IV. Provider business mailing address

1518 NW 21ST PL
CAPE CORAL FL
33993-2930
US

V. Phone/Fax

Practice location:
  • Phone: 239-990-7093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA BRAY
Title or Position: MGR
Credential:
Phone: 239-990-7093