Provider Demographics
NPI:1699017814
Name:TAUB, FLOYD (MD,)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:
Last Name:TAUB
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BARCLAY CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2919
Mailing Address - Country:US
Mailing Address - Phone:303-249-9174
Mailing Address - Fax:
Practice Address - Street 1:15101 INTERLACHEN DR APT 603
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5617
Practice Address - Country:US
Practice Address - Phone:303-249-9174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0023119207ZP0101X
CAG48301207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology