MEDICARE: MRS. SYLVIA BOYD

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	253J00000X	Foster Care Agency	09-1078-005-07	FL
2	3747P1801X	Personal Care Attendant

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	:	1528233475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SYLVIA BOYD

Provider Business Mailing Address
First Line	:	5812 JUDY DEE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4204
Country	:	US
Telephone Number	:	407-291-6051
Fax Number	:

Provider Business Practice Location Address
First Line	:	5812 JUDY DEE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4204
Country	:	US
Telephone Number	:	407-291-6051
Fax Number	:

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

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	01/15/2019

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