Healthcare Provider Details

I. General information

NPI: 1194748947
Provider Name (Legal Business Name): JAMES CARVER BOYD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2280 N 9TH AVE
PENSACOLA FL
32503-3949
US

IV. Provider business mailing address

2280 N 9TH AVE
PENSACOLA FL
32503-3949
US

V. Phone/Fax

Practice location:
  • Phone: 850-434-5717
  • Fax: 850-469-0052
Mailing address:
  • Phone: 850-434-5717
  • Fax: 850-469-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberME0012842
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: