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1689774382

NPI Code Detail

MEDICARE: DR. NADIA DEBORAH TAYLOR M.D.

MEDICARE: DR. NADIA DEBORAH TAYLOR M.D.

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	208000000X	Pediatrics Physician	056229	GA
2	208000000X	Pediatrics Physician	ME151097	FL
3	2080A0000X	Pediatric Adolescent Medicine Physician	ME151097	FL
4	2080B0002X	Pediatric Obesity Medicine Physician	ME151097	FL
5	2080P0207X	Pediatric Hematology & Oncology Physician	ME151097	FL
6	208D00000X	General Practice Physician	056229	GA
7	2080P0207X	Pediatric Hematology & Oncology Physician	056229	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689774382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADIA DEBORAH TAYLOR M.D.

Provider Business Mailing Address
First Line	:	1685 S STATE ROAD 7 STE 4
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-6721
Country	:	US
Telephone Number	:	954-758-4429
Fax Number	:

Provider Business Practice Location Address
First Line	:	1685 S STATE ROAD 7 STE 4
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-6721
Country	:	US
Telephone Number	:	954-758-4429
Fax Number	:

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	06/18/2024

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Directions to “ DR. NADIA DEBORAH TAYLOR M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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