Provider Demographics
NPI:1790677615
Name:TAYLOR, ROBERT W
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 SUITE 200G
Mailing Address - Street 2:US HIGHWAY 1
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3550
Mailing Address - Country:US
Mailing Address - Phone:904-699-4248
Mailing Address - Fax:561-247-7395
Practice Address - Street 1:1201 SUITE 200G
Practice Address - Street 2:US HIGHWAY 1
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3550
Practice Address - Country:US
Practice Address - Phone:904-699-4248
Practice Address - Fax:561-247-7395
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30212960163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health