Healthcare Provider Details

I. General information

NPI: 1285694976
Provider Name (Legal Business Name): JOSEPH H FLOYD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

964 RIBAUT RD
BEAUFORT SC
29902-5429
US

IV. Provider business mailing address

17 BURCKMYER DR
BEAUFORT SC
29907-1709
US

V. Phone/Fax

Practice location:
  • Phone: 843-524-5437
  • Fax: 843-524-0425
Mailing address:
  • Phone: 843-522-0599
  • Fax: 843-522-1559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberSC12254
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: