| Jay Patrick Taylor, MD | |
|
222 S Peninsula Dr, Daytona Beach, FL 32118-4422 | |
| (386) 310-2160 | |
| (386) 310-2106 |
| Full Name | Jay Patrick Taylor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 222 S Peninsula Dr, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396782074 | NPI | - | NPPES |
| 262891100 | Medicaid | FL | |
| 06018 | Other | FL | BLUE CROSS |
| 190499 | Other | FL | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME83493 (Florida) | Primary |
| Entity Name | Emergency Medicine Professionals Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205880853 PECOS PAC ID: 0446244362 Enrollment ID: O20040413001435 |
| Entity Name | Primecare At Twin Lakes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902809122 PECOS PAC ID: 3072591924 Enrollment ID: O20040708000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Patrick Taylor, MD 222 S Peninsula Dr, Daytona Beach, FL 32118-4422 Ph: (386) 310-2160 | Jay Patrick Taylor, MD 222 S Peninsula Dr, Daytona Beach, FL 32118-4422 Ph: (386) 310-2160 |
Cheryl Marie Moses, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
Dr. Peter Springer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-2285 Fax: 386-425-1304 | |
Ayesha Tabassom, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118 Phone: 386-310-2160 Fax: 386-310-2106 | |
Omaid Tariq, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118 Phone: 386-310-2160 Fax: 386-310-2106 | |
Dr. Rewadee Soontharothai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Dr. Cindy May Hird, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Jared J Rich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118 Phone: 386-310-2160 Fax: 386-310-2106 |