Provider Demographics
NPI:1114685005
Name:TAYLOR, LATOYA F (CERTIFIED PHLEBOTOMY)
Entity Type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:F
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CERTIFIED PHLEBOTOMY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 NW 50TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-3718
Mailing Address - Country:US
Mailing Address - Phone:407-860-1381
Mailing Address - Fax:
Practice Address - Street 1:1780 NW 50TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-3718
Practice Address - Country:US
Practice Address - Phone:407-860-1381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLT7K5J3Y8246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy