MEDICARE: ORLANDO FLOYD

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	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1871355461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO FLOYD

Provider Business Mailing Address
First Line	:	300 HYDRANGEA DR
Second Line	:
City	:	LAKE WYLIE
State	:	SC
Zip	:	29710-8859
Country	:	US
Telephone Number	:	704-290-4304
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 HYDRANGEA DR
Second Line	:
City	:	LAKE WYLIE
State	:	SC
Zip	:	29710-8859
Country	:	US
Telephone Number	:	704-290-4304
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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Directions to “ ORLANDO FLOYD ” Practice Location

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