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NPI Code Detail

MEDICARE: DR. AMY TAYLOR PHARMD

MEDICARE: DR. AMY TAYLOR PHARMD
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
1183500000XPharmacistPS42664FL

General Provider Information

NPI Number : 1144752387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY TAYLOR PHARMD
Provider Business Mailing Address
First Line : 11375 W ATLANTIC BLVD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6369
Country : US
Telephone Number : 954-341-7636
Fax Number :
Provider Business Practice Location Address
First Line : 11375 W ATLANTIC BLVD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-6369
Country : US
Telephone Number : 954-341-7636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 03/28/2017

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