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NPI Code Detail

MEDICARE: TAYLOR NICOLE ROSAND M. S.

MEDICARE:   TAYLOR NICOLE ROSAND  M. S.
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
1101YM0800XMental Health CounselorMH15067FL

General Provider Information

NPI Number : 1265834584
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR NICOLE ROSAND M. S.
Provider Business Mailing Address
First Line : 9000 SHERIDAN ST STE 154
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-8801
Country : US
Telephone Number : 954-281-2626
Fax Number :
Provider Business Practice Location Address
First Line : 9000 SHERIDAN ST STE 154
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-8801
Country : US
Telephone Number : 954-281-2626
Fax Number : 954-281-5946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2014
Last Update Date : 06/12/2024

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Directions to “ TAYLOR NICOLE ROSAND M. S.” Practice Location

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