Provider Demographics
NPI:1467481861
Name:JONES, FLOYD TAYLOR (DO)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:TAYLOR
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 INDIAN MOUND BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-2352
Mailing Address - Country:US
Mailing Address - Phone:318-237-4540
Mailing Address - Fax:
Practice Address - Street 1:7939 US HWY 165 SOUTH
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:LA
Practice Address - Zip Code:71418
Practice Address - Country:US
Practice Address - Phone:318-649-6106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06365R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA120001028OtherRR MEDICARE
LAH92009OtherVANTAGE
LAB62732Medicare UPIN
LA50990Medicare ID - Type Unspecified