Individual
KENYATTA DE'ANA FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10739 ROCKLEDGE VIEW DR, RIVERVIEW, FL 33579-2365
(470) 230-5005
Mailing address
10739 ROCKLEDGE VIEW DR, RIVERVIEW, FL 33579-2365
(470) 230-5005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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