Taylor, Brad T

Taylor, Brad T is an individual health care provider with primary practice located at 725 W Granada Blvd Suite 22, Ormond Beach FL 32174-9435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Taylor, Brad T can be contacted via phone (386) 788-2300.

Contact Information

Primary practice address
725 W Granada Blvd Suite 22 Ormond Beach FL 32174-9435
Phone: (386) 788-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9109919 Florida

Profile Details

NPI number 1679011480
LBN Legal business name Taylor, Brad T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2017
Last updated Feb 1st, 2017 - about 7 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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