Healthcare Provider Details

I. General information

NPI: 1083708861
Provider Name (Legal Business Name): JAMES P. FLOYD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/23/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2970 UNIVERSITY PKWY STE 105
SARASOTA FL
34243-2401
US

IV. Provider business mailing address

4112 53RD AVE E #20478
BRADENTON FL
34203-2401
US

V. Phone/Fax

Practice location:
  • Phone: 800-605-3182
  • Fax: 888-202-0307
Mailing address:
  • Phone: 800-605-3182
  • Fax: 888-202-0307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS10030
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberOS10030
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: