MEDICARE: RHONDA LYNN TAYLOR-LAX APRN

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	363LA2100X	Acute Care Nurse Practitioner	APRN11031168	FL

General Provider Information

NPI Number	:	1578327383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA LYNN TAYLOR-LAX APRN

Provider Business Mailing Address
First Line	:	450 MULBERRY GROVE RD
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-4531
Country	:	US
Telephone Number	:	561-718-1370
Fax Number	:

Provider Business Practice Location Address
First Line	:	13550 S JOG RD STE 204
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3809
Country	:	US
Telephone Number	:	561-515-0080
Fax Number	:

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

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

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