MEDICARE: ASIA MERCEDES TAYLOR OTR/L

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	225X00000X	Occupational Therapist	OT14029	FL

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

General Provider Information

NPI Number	:	1801118138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIA MERCEDES TAYLOR OTR/L

Provider Business Mailing Address
First Line	:	4015 INDIAN CREEK DR
Second Line	:	#203
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3722
Country	:	US
Telephone Number	:	323-350-5567
Fax Number	:

Provider Business Practice Location Address
First Line	:	4015 INDIAN CREEK DR
Second Line	:	#203
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3722
Country	:	US
Telephone Number	:	323-350-5567
Fax Number	:

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

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	08/02/2011

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Directions to “ ASIA MERCEDES TAYLOR OTR/L” Practice Location

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