Taylor, Robert Michael
Taylor, Robert Michael is an individual health care provider with primary practice located at 5070 Minton Rd Nw Ste 5, Palm Bay FL 32907-1157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Taylor, Robert Michael can be contacted via phone (941) 484-1510.Contact Information
Primary practice address
5070 Minton Rd Nw Ste 5
Palm Bay FL 32907-1157
Phone: (941) 484-1510
Fax: (941) 484-1071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D33428 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | D33428 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME112983 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ME112983 | Florida |
Profile Details
| NPI number | 1720189657 |
|---|---|
| LBN Legal business name | Taylor, Robert Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Sep 7th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720189657 | NPPES |
| Florida | Other | GP501Y | MEDICARE PTAN |
| Florida | MEDICAID | 406731200 | MEDICARE PTAN |
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