Provider Demographics
NPI:1639158835
Name:FLOYD, SUSAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:L
Last Name:FLOYD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11676 PERRY HWY
Mailing Address - Street 2:WEXFORD PROFESSIONAL BUILDING III
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7205
Mailing Address - Country:US
Mailing Address - Phone:724-940-1990
Mailing Address - Fax:724-940-1991
Practice Address - Street 1:11676 PERRY HWY
Practice Address - Street 2:WEXFORD PROFESSIONAL BUILDING III
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7201
Practice Address - Country:US
Practice Address - Phone:724-940-1990
Practice Address - Fax:724-940-1991
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD036303E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist