Healthcare Provider Details

I. General information

NPI: 1851342844
Provider Name (Legal Business Name): ANTONIO EUGENIO TAULER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 W FLAGLER ST
CORAL GABLES FL
33134-1604
US

IV. Provider business mailing address

6100 BLUE LAGOON DR SUITE 400
MIAMI FL
33126-2079
US

V. Phone/Fax

Practice location:
  • Phone: 305-774-3334
  • Fax: 305-475-2650
Mailing address:
  • Phone: 305-398-6102
  • Fax: 305-757-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME 65292
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: