Provider Demographics
NPI:1982799235
Name:FLOYD, DANNY R (DC)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:R
Last Name:FLOYD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2699 RICHMOND HWY
Mailing Address - Street 2:
Mailing Address - City:SPOUT SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24593-9780
Mailing Address - Country:US
Mailing Address - Phone:434-993-3383
Mailing Address - Fax:434-993-3382
Practice Address - Street 1:2699 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:SPOUT SPRING
Practice Address - State:VA
Practice Address - Zip Code:24593-9780
Practice Address - Country:US
Practice Address - Phone:434-993-3383
Practice Address - Fax:434-993-3382
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL9434368OtherPHCS
AL515-32978OtherBCBS OF AL
051532978FLOMedicare ID - Type Unspecified
V05431Medicare UPIN