Provider Demographics
NPI:1053589523
Name:TAYLOR DEVUYST, PATRICIA MARIE (LMT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MARIE
Last Name:TAYLOR DEVUYST
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8195 N MILITARY TRL
Mailing Address - Street 2:SUITE E & F
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6307
Mailing Address - Country:US
Mailing Address - Phone:561-622-7392
Mailing Address - Fax:561-622-7355
Practice Address - Street 1:8195 N MILITARY TRL
Practice Address - Street 2:SUITE E & F
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6307
Practice Address - Country:US
Practice Address - Phone:561-622-7392
Practice Address - Fax:561-622-7355
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA00013750171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor