Healthcare Provider Details

I. General information

NPI: 1841184884
Provider Name (Legal Business Name): TAYLOR HURD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5597 N DIXIE HWY
OAKLAND PARK FL
33334-3406
US

IV. Provider business mailing address

2400 NE 65TH ST APT 809
FORT LAUDERDALE FL
33308-1576
US

V. Phone/Fax

Practice location:
  • Phone: 954-771-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number43241
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: