MEDICARE: FLOYD CHIROPRACTIC, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	0104556625	VA

General Provider Information

NPI Number	:	1154587095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOYD CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	2699 RICHMOND HWY
Second Line	:
City	:	SPOUT SPRING
State	:	VA
Zip	:	24593-9780
Country	:	US
Telephone Number	:	434-993-3383
Fax Number	:	434-993-3382

Provider Business Practice Location Address
First Line	:	2699 RICHMOND HWY
Second Line	:
City	:	SPOUT SPRING
State	:	VA
Zip	:	24593-9780
Country	:	US
Telephone Number	:	434-993-3383
Fax Number	:	434-993-3382

Authorized Official
Title or Position	:	CEO
Name	:	DANNY R FLOYD
Credential	:	D.C.
Telephone Number	:	434-993-3383

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/30/2008

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