Provider Demographics
NPI:1497856967
Name:DAME, FLOYD MAS (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:MAS
Last Name:DAME
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 NW 68TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6345
Mailing Address - Country:US
Mailing Address - Phone:352-377-4825
Mailing Address - Fax:
Practice Address - Street 1:2400 NW 68TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6345
Practice Address - Country:US
Practice Address - Phone:352-377-4825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist