Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Taylor Fitzgerald Jr.

Individual provider Rehabilitation Practitioner · NPI 1417149725

Michael Taylor Fitzgerald Jr. is a Rehabilitation Practitioner in San Pedro, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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Practice location Address checks out

921 S Beacon St
San Pedro, CA 90731-3740
Phone: (310) 984-3055
Fax: (310) 984-3066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1417149725
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2007
Last updated in NPPESFebruary 12, 2014

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