Individual
MR. JOHN DAVIDSON FLOYD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
3901 16TH ST N, ST PETERSBURG, FL 33703-5603
(727) 526-5432
(727) 526-5432
Mailing address
209 W FRANCES AVE, TAMPA, FL 33602-2005
(813) 225-2040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886748800
—
FL
Enumeration date
05/09/2007
Last updated
04/07/2011
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