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NPI Code Detail

MEDICARE: TAYLOR FICK

MEDICARE: TAYLOR FICK
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
1106S00000XBehavior TechnicianRBT-24-371446

General Provider Information

NPI Number : 1174471668
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR FICK
Provider Business Mailing Address
First Line : 3406 W SAN PEDRO ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-7923
Country : US
Telephone Number : 904-710-1547
Fax Number : 813-512-2734
Provider Business Practice Location Address
First Line : 3406 W SAN PEDRO ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-7923
Country : US
Telephone Number : 904-710-1547
Fax Number : 813-512-2734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ TAYLOR FICK ” Practice Location

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