MEDICARE: DR. ANTOINETTE LLOYD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301099524	MI

General Provider Information

NPI Number	:	1174069330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTOINETTE LLOYD MD

Provider Business Mailing Address
First Line	:	303 KINNERET WAY
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 KINNERET WAY
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6156
Country	:	US
Telephone Number	:	904-537-8118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	01/12/2017

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