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General NPI Number Information
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NPI Number | 1245327576
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Entity Type | Individual
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Provider Name | MICHELLE RENEE FLOYD CRNA ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 60 FAIRWAY LN
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1215
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Country | US
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Telephone | 561-333-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 16177 HAMLIN BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-2859
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Country | US
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Telephone | 561-312-4490
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2877412
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP2877412
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License Number State | FL
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