Provider Demographics
NPI:1578327383
Name:TAYLOR-LAX, RHONDA LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:LYNN
Last Name:TAYLOR-LAX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 MULBERRY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4531
Mailing Address - Country:US
Mailing Address - Phone:561-718-1370
Mailing Address - Fax:
Practice Address - Street 1:13550 S JOG RD STE 204
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3809
Practice Address - Country:US
Practice Address - Phone:561-515-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031168363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care