Boyd, Jeremy Taylor

Boyd, Jeremy Taylor is an individual health care provider with primary practice located at 1901 Sw 172Nd Ave , Miramar FL 33029-5592. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Boyd, Jeremy Taylor can be contacted via phone (954) 538-5101.

Contact Information

Primary practice address
1901 Sw 172Nd Ave Miramar FL 33029-5592
Phone: (954) 538-5101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 783713 Texas

Profile Details

NPI number 1477824126
LBN Legal business name Boyd, Jeremy Taylor
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2012
Last updated Mar 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477824126 NPPES
Texas Other 12226 RX AUTHORIZATION NUMBER

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