Michelle Jean Taylor, D.O.

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

OS13890 Issued in FL

Practice address

3136 Players View Cir
Longwood, FL 32779-3118

Phone

(612) 703-2660

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Dr. Michelle Jean Lux Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Reference Laboratories, LLC

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1982091617
  NPD (past)
• Genesis Reference Laboratories, LLC

  • Clinical Medical Laboratory
  • Centennial, CO
  • NPI 1639957897
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1033438296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 PLAYERS VIEW CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 PLAYERS VIEW CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793118",
            "telephone_number": "612-703-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7924 Forest City Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328102925",
            "country_code": "US",
            "telephone_number": "407-232-7172",
            "fax_number": "407-289-4082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327242039",
            "country_code": "US",
            "telephone_number": "386-626-7632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHELLE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "PA",
            "license": "OS019098",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "MN",
            "license": "57435",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "AL",
            "license": "DO.2576",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "FL",
            "license": "OS13890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LUX",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gilbert Tetteh Tamakloe, MD
• Elaine Tan, MS, LMHC
• Tata Health Care Agency
• George Washington Taussig Jr., D.C.
• Kimberly Raquel Taylor
• Peggy Sue Taylor
• Tricia Taylor, LMT
• Jasmine Lynette Tejada, PMHNP
• Kenny Tello
• Diane Testani, MASSAGE THERAPIST

• Clinical Pathology Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.