Healthcare Provider Details

I. General information

NPI: 1861679540
Provider Name (Legal Business Name): ALLEN J TAURITZ DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 JOG RD SUITE 110
DELRAY BEACH FL
33446-2162
US

IV. Provider business mailing address

15300 JOG RD SUITE 110
DELRAY BEACH FL
33446-2162
US

V. Phone/Fax

Practice location:
  • Phone: 561-492-7200
  • Fax: 561-498-9068
Mailing address:
  • Phone: 561-492-7200
  • Fax: 561-498-9068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO 887
License Number StateFL

VIII. Authorized Official

Name: DR. ALLEN J TAURITZ
Title or Position: PD
Credential: DPM
Phone: 561-498-7200