Healthcare Provider Details

I. General information

NPI: 1700046950
Provider Name (Legal Business Name): LLOYD ANTONI FORBES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W PLYMOUTH AVE
DELAND FL
32720-3236
US

IV. Provider business mailing address

701 W PLYMOUTH AVE
DELAND FL
32720-3236
US

V. Phone/Fax

Practice location:
  • Phone: 386-943-4522
  • Fax:
Mailing address:
  • Phone: 386-943-4522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0116019989
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35133
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number26405
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA08860600
License Number StateNJ
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME133759
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: