MEDICARE: SYLVIA R BOYD DDS

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	1223G0001X	General Practice Dentistry	12854	FL

General Provider Information

NPI Number	:	1992811400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA R BOYD DDS

Provider Business Mailing Address
First Line	:	210 S WOODLYNNE AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3015
Country	:	US
Telephone Number	:	813-885-3345
Fax Number	:	813-885-3117

Provider Business Practice Location Address
First Line	:	8327 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3805
Country	:	US
Telephone Number	:	813-885-3345
Fax Number	:	813-885-3117

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/08/2007

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