Kevin L Taylor (NPI# 1407039522, PAC ID# 8022154103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1407039522 |
| PAC ID by PECOS | 8022154103 |
| Professional Enrollment ID | I20130906000498 |
| Full Name | Kevin L Taylor |
| Organization Legal Name | DOCKYARD EMERGENCY PHYSICIANS, LLC |
| Address |
1800 Se Tiffany Ave Port Saint Lucie FL 34952-7521 |
| Phone Number | 7723354000 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648431650 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100260 | ST LUCIE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 7723354000 | DOCKYARD EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | DOCKYARD EMERGENCY PHYSICIANS, LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gino Alberto Jr. | Emergency Medicine | Dockyard Emergency Physicians, LLC | 3205 Sw Darwin Blvd, Er At Darwin Quare, Port Saint Lucie, FL 34953 |
| Jennifer Gail Collins | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Chantelle Dufresne | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Sarah M Fowles | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Rege Scott Turner | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Sylvie A Rimmer | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Andrew P Sturm | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Steven W Suggs | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Andrew D Dygert | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Jeanette A Roberts | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Street Address |
1800 SE TIFFANY AVE |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip | 34952-7521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Langer | Anesthesiology | Anesthesia Physician Solutions of South Florida, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Michelle A Peters | Internal Medicine | Atlantic Isles Inpatient Services,llc. | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Luther J Neubert | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Jennifer Gail Collins | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Michael S Capezzuto | Nurse Practitioner | Fl-i Medical Services LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Cary J Colter | Anesthesiology | Anesthesia Physician Solutions of South Florida, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Chantelle Dufresne | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Joshua Amsler | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Angela A Wasielewski | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of South Florida, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Sarah M Fowles | Emergency Medicine | Dockyard Emergency Physicians, LLC | 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudia Patricia Santamaria | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Heather L Hackney | Qualified Audiologist | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Cynthia J Rogers | Dermatology | 8503 S Us, Suite 1, Port St Lucie, FL 34952 | |
| Anthony Glenn Rogers | Anesthesiology | Port St Lucie Pain Management Pllc | 8235s Us Hwy 1, Port St Lucie, FL 34952 |
| Diane Leigh Pugh | Family Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| James L Autin | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Carolyn A Rawdon | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Kenneth Weiss | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Ravi Mehan | Internal Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Glynnis Jayne Lyons | General Practice | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Find all physicians in zip 34952 | |||
| City | PORT SAINT LUCIE |
| Zip Code | 34952 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PORT SAINT LUCIE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kevin L Taylor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.