Healthcare Provider Details

I. General information

NPI: 1912628215
Provider Name (Legal Business Name): BRYCE FLOYD PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 STOCK ST STE 3
HANOVER PA
17331-2276
US

IV. Provider business mailing address

1701 INNOVATION DR
YORK PA
17408-8815
US

V. Phone/Fax

Practice location:
  • Phone: 717-637-1738
  • Fax: 717-646-7430
Mailing address:
  • Phone: 717-637-1738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: