Floyd, Phyllis

Floyd, Phyllis is an individual health care provider with primary practice located at 5901 Harper Dr Ne , Albuquerque NM 87109-3587. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Floyd, Phyllis can be contacted via phone (505) 823-8528.

Contact Information

Primary practice address
5901 Harper Dr Ne Albuquerque NM 87109-3587
Fax: (505) 823-8555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 83-32 New Mexico

Profile Details

NPI number 1689642159
LBN Legal business name Floyd, Phyllis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689642159 NPPES
New Mexico MEDICAID 33449

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