Healthcare Provider Details

I. General information

NPI: 1487575627
Provider Name (Legal Business Name): SKYELAR TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 NE 14TH STREET CSWY STE 5
POMPANO BEACH FL
33062-3535
US

IV. Provider business mailing address

2641 NE 19TH AVE
LIGHTHOUSE POINT FL
33064-7725
US

V. Phone/Fax

Practice location:
  • Phone: 954-545-1560
  • Fax:
Mailing address:
  • Phone: 954-326-5462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049301
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: