MEDICARE: MICHELLE RENEE FLOYD CRNA ARNP

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	207L00000X	Anesthesiology Physician	2877412	FL
2	367500000X	Certified Registered Nurse Anesthetist	ARNP2877412	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245327576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE RENEE FLOYD CRNA ARNP

Provider Business Mailing Address
First Line	:	16177 HAMLIN BLVD
Second Line	:
City	:	LOXAHATCHEE
State	:	FL
Zip	:	33470-2859
Country	:	US
Telephone Number	:	561-312-4490
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 FAIRWAY LN
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1215
Country	:	US
Telephone Number	:	561-333-8162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	09/18/2018

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