Healthcare Provider Details

I. General information

NPI: 1609096460
Provider Name (Legal Business Name): EDWARD J. FLOYD DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6551 WILSON MILLS RD STE 104
CLEVELAND OH
44143-3495
US

IV. Provider business mailing address

6551 WILSON MILLS RD STE 104
CLEVELAND OH
44143-3495
US

V. Phone/Fax

Practice location:
  • Phone: 440-442-3113
  • Fax: 440-442-5137
Mailing address:
  • Phone: 440-442-3113
  • Fax: 440-442-5137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD J FLOYD
Title or Position: DOCTOR
Credential: D.P.M.
Phone: 440-442-3113