Provider Demographics
NPI:1235374109
Name:FRIED, FLOYD ALAN (FLOYD FRIED, MD)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:ALAN
Last Name:FRIED
Suffix:
Gender:M
Credentials:FLOYD FRIED, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BAYVIEW DR
Mailing Address - Street 2:# 826
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4780
Mailing Address - Country:US
Mailing Address - Phone:305-956-2737
Mailing Address - Fax:
Practice Address - Street 1:620 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:SUITE 503
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5732
Practice Address - Country:US
Practice Address - Phone:919-967-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17001174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC17001OtherNC MEDICAL LICENSE 17001