Healthcare Provider Details

I. General information

NPI: 1942291869
Provider Name (Legal Business Name): JAMES ROBERT TAYLOR PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 NE WALDO RD
GAINESVILLE FL
32641-5685
US

IV. Provider business mailing address

6514 SW 135TH PL
ARCHER FL
32618-4317
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6239
  • Fax: 352-273-6242
Mailing address:
  • Phone: 352-273-6239
  • Fax: 352-273-6242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number32792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: