Michael Taylor Fitzgerald Jr, is a
Rehabilitation Practitioner based in San Pedro, California. Michael Taylor Fitzgerald Jr is licensed to practice in NU (license number ) and his current practice location is
921 S Beacon St, San Pedro, California. He can be reached at his office (for appointments etc.) via phone at
(310) 984-3055.
NPI number for Michael Taylor Fitzgerald Jr is 1417149725 and his current mailing address is 921 S Beacon St, San Pedro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417149725.
Healthcare Provider's Profile
| Full Name | Michael Taylor Fitzgerald Jr |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 921 S Beacon St, San Pedro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417149725
- Provider Enumeration Date: 08/10/2007
- Last Update Date: 02/12/2014
Medical Identifiers
Medical identifiers for Michael Taylor Fitzgerald Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417149725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (NU) | Secondary |
| 225400000X | Rehabilitation Practitioner | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Taylor Fitzgerald Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael Taylor Fitzgerald Jr, 921 S Beacon St, San Pedro, CA 90731-3740 Ph: (310) 984-3055 | Michael Taylor Fitzgerald Jr, 921 S Beacon St, San Pedro, CA 90731-3740 Ph: (310) 984-3055 |
Reviews and Comments