Healthcare Provider Details

I. General information

NPI: 1336066505
Provider Name (Legal Business Name): TAYLOR MCGOLDRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36430 US HIGHWAY 19 N
PALM HARBOR FL
34684-1330
US

IV. Provider business mailing address

3246 ENTERPRISE RD E
SAFETY HARBOR FL
34695-5207
US

V. Phone/Fax

Practice location:
  • Phone: 727-330-0240
  • Fax:
Mailing address:
  • Phone: 727-365-7411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13343
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: