| Donovan D Taylor Md Pa | |
|
250 Nw 183rd St Miami FL 33169-4462 | |
| (305) 655-0702 | |
| (305) 655-0845 |
| Full Name | Donovan D Taylor Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Nw 183rd St, Miami, Florida |
| Authorized Official Name and Position | Donovan Taylor (PRESIDENT) |
| Authorized Official Contact | 3056550702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donovan D Taylor Md Pa 250 Nw 183rd St Miami FL 33169-4462 Ph: (305) 655-0702 | Donovan D Taylor Md Pa 250 Nw 183rd St Miami FL 33169-4462 Ph: (305) 655-0702 |
| NPI Number | 1851506430 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 04/15/2008 |
| Medicare PECOS PAC ID | 3173614393 |
|---|---|
| Medicare Enrollment ID | O20070802000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851506430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME70791 (Florida) | Primary |
| Provider Name | Donovan Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568418648 PECOS PAC ID: 5890891782 Enrollment ID: I20070510000068 |
| Provider Name | Nazael Dumay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225587843 PECOS PAC ID: 7315336393 Enrollment ID: I20211112000828 |
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