Provider Demographics
NPI:1437620564
Name:BOYD, STEVEN SPENCER (APRN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:SPENCER
Last Name:BOYD
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E KING ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4507
Mailing Address - Country:US
Mailing Address - Phone:954-668-4234
Mailing Address - Fax:
Practice Address - Street 1:115 E KING ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4507
Practice Address - Country:US
Practice Address - Phone:954-668-4234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005406363LA2100X
TN25045363LA2100X
GAGAA-NP000582207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care