Healthcare Provider Details

I. General information

NPI: 1043515596
Provider Name (Legal Business Name): MARGARET SLUKES-TAYLOR CCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET JOAN SLUKIS-TAYLOR CCP

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2356 NW DIAMOND CREEK WAY
JENSEN BEACH FL
34957-4433
US

IV. Provider business mailing address

2356 NW DIAMOND CREEK WAY
JENSEN BEACH FL
34957-4433
US

V. Phone/Fax

Practice location:
  • Phone: 772-359-0304
  • Fax:
Mailing address:
  • Phone: 772-350-0304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code242T00000X
TaxonomyPerfusionist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: