MEDICARE: DAVID M FLOYD AUD

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	231H00000X	Audiologist	6237	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6237	OTHER	NC	NC AUDIOLOGY BOARD LICENSE
2	01256	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1356516256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M FLOYD AUD

Provider Business Mailing Address
First Line	:	804 ENGLISH RD
Second Line	:	SUITE 200
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-6032
Country	:	US
Telephone Number	:	252-937-4100
Fax Number	:	252-937-4103

Provider Business Practice Location Address
First Line	:	215 SMITH CHURCH RD
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870-4913
Country	:	US
Telephone Number	:	252-535-2311
Fax Number	:

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

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	09/23/2008

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Directions to “ DAVID M FLOYD AUD” Practice Location

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