MEDICARE: DR. ROBERT DANIEL FLOYD D.O.

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	207R00000X	Internal Medicine Physician	3537	IA
2	207R00000X	Internal Medicine Physician	113318	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275514028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DANIEL FLOYD D.O.

Provider Business Mailing Address
First Line	:	509 N MADISON ST.
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1271
Country	:	US
Telephone Number	:	641-664-3832
Fax Number	:	641-664-1857

Provider Business Practice Location Address
First Line	:	509 N MADISON ST.
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-1271
Country	:	US
Telephone Number	:	641-664-3832
Fax Number	:	641-664-1857

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	10/06/2020

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