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: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11717 OLD NATIONAL PIKE STE 8
NEW MARKET MD
21774-6119
US

IV. Provider business mailing address

11717 OLD NATIONAL PIKE STE 8
NEW MARKET MD
21774-6119
US

V. Phone/Fax

Practice location:
  • Phone: 301-882-7489
  • Fax: 301-829-7520
Mailing address:
  • Phone: 301-882-7489
  • Fax: 301-829-7520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: