Provider Demographics
NPI:1134182470
Name:FLOYD, PHILIP DUNCAN (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:DUNCAN
Last Name:FLOYD
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 1:7300 SW 62ND PLACE
Mailing Address - Street 2:PH-WEST
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4802
Mailing Address - Country:US
Mailing Address - Phone:305-661-1962
Mailing Address - Fax:305-661-6112
Practice Address - Street 1:7300 SW 62ND PLACE
Practice Address - Street 2:PH-WEST
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4802
Practice Address - Country:US
Practice Address - Phone:305-661-1962
Practice Address - Fax:305-661-6112
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-08
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL83179208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263217900Medicaid