Provider Demographics
NPI:1649542226
Name:BRYAN, FLOYD TALMADGE (MD)
Entity type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:TALMADGE
Last Name:BRYAN
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 1:521 W RIVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4616
Mailing Address - Country:US
Mailing Address - Phone:321-724-5335
Mailing Address - Fax:
Practice Address - Street 1:521 W RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4616
Practice Address - Country:US
Practice Address - Phone:321-724-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19763207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine