DR. ROBERT MICHAEL TAYLOR (NPI# 1720189657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720189657 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MICHAEL TAYLOR |
| Credential | M.D. |
| Practice Address |
5070 Minton Rd Nw Ste 5 Palm Bay FL 32907-1157 |
| Mailing Address |
5070 Minton Rd Nw Ste 3 Palm Bay FL 32907-1157 |
| Practice Telephone | 9414841510 |
| Practice Fax Number | 9414841071 |
| Mailing Telephone | 9419550360 |
| Mailing Fax Number | 9419559806 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME112983 | FL | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | D33428 | MD | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME112983 | FL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
D33428 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | GP501Y | 01 |
| MD | 406731200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1538787916 | Robert Allen Taylor | Behavior Technician | 280 Country Club Pkwy Apt 4, Spring Creek, NV 89815-5855 | 2020-07-11 |
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1952959215 | Robert Evan Taylor | Nurse Practitioner | 4210 22nd St Sw, Lehigh Acres, FL 33976-3215 | 2019-08-29 |
| 1871148478 | Robert Ellis Taylor IIi | Physician Assistant | 1248 Marvin Ave, Charleston, SC 29407-5337 | 2019-08-09 |
| 1851854814 | Robert A Taylor | Rehabilitation Practitioner | 719 Glenwood Springs Ave, North Las Vegas, NV 89032-7689 | 2019-04-08 |
| 1881107480 | Robert Lee Taylor Jr. | Non-emergency Medical Transport (VAN) | 306 Martin Luther King Dr, Dyersburg, TN 38024-3643 | 2017-11-06 |
| 1134587801 | Robert Pierpont Taylor | Technician/Technologist | 321 Chinquapin Dr Sw, Marietta, GA 30064-3505 | 2016-02-09 |
| 1144572686 | Robert E Taylor Jr. | Custodial Care Facility | 8905 Harvey Ln, Port Richey, FL 34668-5212 | 2012-10-08 |
| 1457679060 | Robert E Taylor | Pharmacist | 5300 Redbud Hwy, Honaker, VA 24260 | 2010-05-06 |
| Street Address |
5070 MINTON RD NW STE 5 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428288 | Maria L Fortington | Physician Assistant | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 | 2005-09-26 |
| 1073577136 | Florida Dermatology Associates Inc | Dermatology | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 | 2006-04-14 |
| 1225092331 | Ruben Antenor Moreno | Dermatology | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 | 2006-04-14 |
| 1447238787 | Frank G Lee | Specialist | 5070 Minton Rd Nw, Suite 5, Palm Bay, FL 32907-1157 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154584084 | Shery Mathew Varghese | Dermatology | 1761 Palm Bay Rd Ne, Palm Bay, FL 32905-2902 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.