Healthcare Provider Details

I. General information

NPI: 1205366028
Provider Name (Legal Business Name): TAYLOR STRICKLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date: 02/25/2024
Reactivation Date: 03/19/2024

III. Provider practice location address

12545 ORANGE DR STE 502
DAVIE FL
33330-4306
US

IV. Provider business mailing address

12545 ORANGE DR STE 502
DAVIE FL
33330-4306
US

V. Phone/Fax

Practice location:
  • Phone: 954-474-8048
  • Fax:
Mailing address:
  • Phone: 954-474-8048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: