MEDICARE: PERRY R LLOYD III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RP1001X	Pulmonary Disease Physician
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1104228048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERRY R LLOYD III MD

Provider Business Mailing Address
First Line	:	2207 SUNRISE BLVD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-5366
Country	:	US
Telephone Number	:	772-465-0491
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 SUNRISE BLVD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-5366
Country	:	US
Telephone Number	:	772-465-0491
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEBORAH LLOYD
Credential	:
Telephone Number	:	772-971-7451

Provider Enumeration Date	:	09/23/2014
Last Update Date	:	09/23/2014

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