MEDICARE: MONICA BLANCO TAGGART AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AY2196	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AY2196	OTHER	FL	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083191217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA BLANCO TAGGART AU.D.

Provider Business Mailing Address
First Line	:	9900 SW 107TH AVE STE 202
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-2809
Country	:	US
Telephone Number	:	53-595-1530
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 SW 107TH AVE STE 202
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-2809
Country	:	US
Telephone Number	:	305-595-1530
Fax Number	:	305-595-1574

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2018
Last Update Date	:	11/23/2021

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