Healthcare Provider Details

I. General information

NPI: 1386214328
Provider Name (Legal Business Name): FLOYD MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 SHAKER BLVD STE 240
CLEVELAND OH
44104-3873
US

IV. Provider business mailing address

11201 SHAKER BLVD STE 240
CLEVELAND OH
44104-3873
US

V. Phone/Fax

Practice location:
  • Phone: 216-359-3469
  • Fax:
Mailing address:
  • Phone: 216-359-3469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY FLOYD
Title or Position: NURSE PRACTITIONER
Credential: CNP
Phone: 216-246-2051