Provider Demographics
NPI:1407052947
Name:FLOYD, FRANKLIN MICHAEL (CPO)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:MICHAEL
Last Name:FLOYD
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 S 17TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6444
Mailing Address - Country:US
Mailing Address - Phone:910-763-0821
Mailing Address - Fax:910-763-8379
Practice Address - Street 1:1880 S 17TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-6444
Practice Address - Country:US
Practice Address - Phone:910-763-0821
Practice Address - Fax:910-763-8379
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700679Medicaid
NC04932OtherBCBS
NC7700679Medicaid