Provider Demographics
NPI:1538125166
Name:MCINTYRE, FLOYD LEE
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:LEE
Last Name:MCINTYRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 AIRLINE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660
Mailing Address - Country:US
Mailing Address - Phone:508-385-9146
Mailing Address - Fax:508-385-1949
Practice Address - Street 1:76 AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660
Practice Address - Country:US
Practice Address - Phone:508-385-9146
Practice Address - Fax:508-385-1949
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47013207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
708266OtherTUFTS
L15143OtherBLUE CROSS
7154OtherPILGRIM
L15143OtherBLUE CROSS
7154OtherPILGRIM