Provider Demographics
NPI:1992081046
Name:TAYLOR, JOSEPH LENARD
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LENARD
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 1:4047 OKEECHOBEE BLVD STE 126
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3225
Mailing Address - Country:US
Mailing Address - Phone:561-619-8160
Mailing Address - Fax:561-619-8162
Practice Address - Street 1:4047 OKEECHOBEE BLVD STE 126
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3225
Practice Address - Country:US
Practice Address - Phone:561-686-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor