Provider Demographics
NPI:1659722064
Name:FLOYD, SANTANA JAMES
Entity Type:Individual
Prefix:
First Name:SANTANA
Middle Name:JAMES
Last Name:FLOYD
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 1:2832 HARNET CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-8720
Mailing Address - Country:US
Mailing Address - Phone:614-365-0455
Mailing Address - Fax:614-934-5029
Practice Address - Street 1:2832 HARNET CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-8720
Practice Address - Country:US
Practice Address - Phone:614-365-0455
Practice Address - Fax:614-934-5029
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide