MITZIE JOHNSON TAYLOR FNP-BC
NPI 1124832688
Nurse Practitioner - Family in Ft Lauderdale, FL

Active since February 05, 2025
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328(754) 224-9865 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mitzie Johnson Taylor Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITZIE JOHNSON TAYLOR FNP-BC (NPI 1124832688) is an individual family provider in Ft Lauderdale, Florida, licensed in Florida (11037479) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1124832688
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMITZIE JOHNSON TAYLORCredential: FNP-BC
Location Address3300 S UNIVERSITY DRFt Lauderdale, FL 33328-2004
Mailing Address11962 Sw Paradise River RdPort St Lucie, FL 34987-7762 · (754) 224-9865
Sole ProprietorYes
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 3, 2025
NPI 1124832688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 11037479
3300 S UNIVERSITY DR, Ft Lauderdale, FL 33328

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Dentist (Endodontics)
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Optometrist
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Optometrist
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Pharmacist
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124832688, enumerated as an "individual" on February 05, 2025.

The provider is located at 3300 S UNIVERSITY DR FT LAUDERDALE, FL 33328 and the phone number is (754) 224-9865.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.