Taylor Made Medical Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME125557 Issued in FL

Legal business name

TAYLOR MADE MEDICAL CARE, LLC

Practice address

6500 W Newberry Rd
Gainesville, FL 32605-4309

Phone

(352) 333-4000

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dale Lee Taylor, MDNPI 1053758805

Title

Owner / Registered Agent

Phone

(561) 202-4861

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale Lee Taylor, M.D.

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1053758805
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1811495583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 NW 55TH ST UNIT 15",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056464",
            "telephone_number": "561-202-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054309",
            "telephone_number": "352-333-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER / REGISTERED AGENT",
        "authorized_official_telephone_number": "561-202-4861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole D Taubel, DPT
• Jasmin Marcelle Tawfic
• Heather Dawn Taxeras, PHARM.D
• May P Tay, PH.D.
• Noura Tayan
• Michele Lucille Taylor-Caldwell, DNP, ARNP-BC
• Alexander Taylor
• Amanda Ashley Taylor, LMHC, QS
• Cathy Marlene Taylor, D.M.D
• Charles Alan Taylor Jr., DMD, MS

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.