Provider Demographics
NPI:1932665874
Name:TAYLOR, DAWN (HHA, BLS)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:HHA, BLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20401 SW 48TH PL
Mailing Address - Street 2:
Mailing Address - City:SW RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1062
Mailing Address - Country:US
Mailing Address - Phone:954-825-5783
Mailing Address - Fax:
Practice Address - Street 1:8730 AZALEA CT APT 201
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2044
Practice Address - Country:US
Practice Address - Phone:954-594-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide