Individual provider · Type 1 NPI
Taylor Marie Bushing, PA-C
Medical Physician Assistant · Fort Lauderdale, FL
NPI number
1679382634
Active
Practice location
921 SE 17th St, Unit B
Fort Lauderdale, FL 33316
Mailing address
12830 NW 21st St
Pembroke Pines, FL 33028-2534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9118604 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1679382634
Taylor Marie Bushing, PA-C's National Provider Identifier is 1679382634, issued on Jan 4, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 4, 2025.