=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457421240
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID RUFUS FLOYD OD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/08/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1737 W 3RD STREET
-----------------------------------------------------
City | MONTGOMERY
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36106-1505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-264-6917
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | DR DAVID FLOYD 1737 W 3RD STREET
-----------------------------------------------------
City | MONTGOMERY
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36106-1505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-264-6917
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | S297
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------