Provider Demographics
NPI:1124226535
Name:FLOYD, ROBERT TARRANT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:TARRANT
Last Name:FLOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 OX YOKE LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-9680
Mailing Address - Country:US
Mailing Address - Phone:775-240-7192
Mailing Address - Fax:
Practice Address - Street 1:180 OX YOKE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-9680
Practice Address - Country:US
Practice Address - Phone:775-240-7192
Practice Address - Fax:775-982-4196
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14346207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
12356797OtherCAQH
NVGC951YMedicare PIN