# SHANNON FLOYD DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174845622
- **Authorized official:** SHANNON FLOYD DPM (PRESIDENT)
- **Authorized official phone:** (917) 207-3328

## Contact information

- **Practice address:** 11834 COUNTY ROAD 101, SUITE 203, LADY LAKE, FL 32162-9340
- **Practice address phone:** (352) 633-8230
- **Practice address fax:** (352) 633-8232
- **Mailing address:** 4900 SW 46TH CT APT 2108, OCALA, FL 34474-6287
- **Mailing address phone:** (917) 207-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3406 | FL | Yes |

## Other

- **Enumeration date:** 02/25/2010
- **Last updated:** 02/20/2013