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NPI Code Detail

MEDICARE: HERBERT FLOYD MD

MEDICARE: HERBERT FLOYD 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician13729MS

Other Identifiers

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

General Provider Information

NPI Number : 1457345365
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERBERT FLOYD MD
Provider Business Mailing Address
First Line : PO BOX 22505
Second Line :
City : JACKSON
State : MS
Zip : 39225-2505
Country : US
Telephone Number : 866-321-8433
Fax Number :
Provider Business Practice Location Address
First Line : 5001 HARDY ST
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1308
Country : US
Telephone Number : 601-268-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 05/24/2011

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