Provider Demographics
NPI:1083708861
Name:FLOYD, JAMES P (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:FLOYD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2970 UNIVERSITY PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2401
Mailing Address - Country:US
Mailing Address - Phone:800-605-3182
Mailing Address - Fax:888-202-0307
Practice Address - Street 1:2970 UNIVERSITY PKWY STE 105
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2401
Practice Address - Country:US
Practice Address - Phone:800-605-3182
Practice Address - Fax:888-202-0307
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS10030207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCD262AMedicare PIN