MEDICARE: TOWANDA TAYLOR

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	156FX1800X	Optician	DO8445	FL

General Provider Information

NPI Number	:	1215854716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOWANDA TAYLOR

Provider Business Mailing Address
First Line	:	2531 NW 8TH PL APT 1
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6787
Country	:	US
Telephone Number	:	754-277-6613
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W BROWARD BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1300
Country	:	US
Telephone Number	:	954-453-6204
Fax Number	:

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

Provider Enumeration Date	:	07/04/2026
Last Update Date	:	07/04/2026

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Directions to “ TOWANDA TAYLOR ” Practice Location

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