Healthcare Provider Details

I. General information

NPI: 1558590729
Provider Name (Legal Business Name): TINA FLOY MD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7411 RIGGS RD STE 314
HYATTSVILLE MD
20783-4246
US

IV. Provider business mailing address

3930 PENDER DR STE 215
FAIRFAX VA
22030-0992
US

V. Phone/Fax

Practice location:
  • Phone: 301-434-0924
  • Fax:
Mailing address:
  • Phone: 703-356-7882
  • Fax: 703-356-4850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0077114
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101255280
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: