MEDICARE: DR. THOMAS PATRICK FLOYD D.M.D.

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	1223P0221X	Pediatric Dentistry	DN8006	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

General Provider Information

NPI Number	:	1376679662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS PATRICK FLOYD D.M.D.

Provider Business Mailing Address
First Line	:	400 EXECUTIVE CENTER DR
Second Line	:	SUITE 105
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2917
Country	:	US
Telephone Number	:	561-684-3331
Fax Number	:	561-684-3479

Provider Business Practice Location Address
First Line	:	400 EXECUTIVE CENTER DR
Second Line	:	SUITE 105
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-2917
Country	:	US
Telephone Number	:	561-684-3331
Fax Number	:	561-684-3479

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. THOMAS PATRICK FLOYD D.M.D.” Practice Location

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