Provider Demographics
NPI:1750351136
Name:SLOAN, LLOYD WYCLIFFE (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:WYCLIFFE
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 SUNFOREST DR STE 300
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6327
Mailing Address - Country:US
Mailing Address - Phone:407-699-6009
Mailing Address - Fax:407-699-6008
Practice Address - Street 1:1301 SUNDIAL PT
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6622
Practice Address - Country:US
Practice Address - Phone:407-699-6009
Practice Address - Fax:407-699-6008
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD42735207Q00000X
FLME114930207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105952600Medicaid