Provider Demographics
NPI:1073529798
Name:LLOYD, PERRY R III (MD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:R
Last Name:LLOYD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PERRY
Other - Middle Name:RICHARD
Other - Last Name:LLOYD
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2207 SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-5366
Mailing Address - Country:US
Mailing Address - Phone:772-465-0491
Mailing Address - Fax:772-461-6360
Practice Address - Street 1:2207 SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-5366
Practice Address - Country:US
Practice Address - Phone:772-465-0491
Practice Address - Fax:772-461-6360
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49818207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL04254Medicare PIN
FLD61048Medicare UPIN