Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 59095 | FL |
NPI | 1205375375 |
---|---|
Provider Name | Mrs. Felisha Floyd |
First Address | Navarre, FL 32566-7527 |
Second Address | Navarre, FL 32566-7527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2017 |
Last Update Date | 21/02/2017 |