MEDICARE: JEREMY TAYLOR MD

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	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	ME168956	FL

General Provider Information

NPI Number	:	1346804903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY TAYLOR MD

Provider Business Mailing Address
First Line	:	1325 SAN MARCO BLVD STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 SAN MARCO BLVD STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8566
Country	:	US
Telephone Number	:	904-346-3465
Fax Number	:	904-396-0388

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

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	01/19/2026

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1730183500 — PHILIP R. HARDY M.D.
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1265436034 — DR. GARRY S KITAY M.D.
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Practice Phone: 904-346-3465
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1083618854 — DR. WILLIAM G. PUJADAS M.D.
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1891799664 — ROBERT G. SAVARESE D.O.
Practice Location Address:

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1700880572 — MICHAEL S SCHARF M.D.
Practice Location Address:

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Practice Fax: 904-399-1537

Directions to “ JEREMY TAYLOR MD” Practice Location

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