| O/o Lendel M Taylor | |
|
1454 Oakfield Dr Brandon FL 33511-4853 | |
| (813) 653-1150 | |
| (813) 653-1429 |
| Full Name | O/o Lendel M Taylor |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1454 Oakfield Dr, Brandon, Florida |
| Authorized Official Name and Position | Lendel M Taylor (PRESIDENT) |
| Authorized Official Contact | 8136531150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O/o Lendel M Taylor P.o. Box 1150 Brandon FL 33509-1150 Ph: (813) 653-1150 | O/o Lendel M Taylor 1454 Oakfield Dr Brandon FL 33511-4853 Ph: (813) 653-1150 |
| NPI Number | 1497065973 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 05/05/2011 |
| Medicare PECOS PAC ID | 3678769486 |
|---|---|
| Medicare Enrollment ID | O20101118001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497065973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lendel Mark Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457317083 PECOS PAC ID: 4587850391 Enrollment ID: I20101118001313 |
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