| Organization Name: | SHANNON FLOYD DPM PA |
| NPI Number: | 1174845622 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON FLOYD (PRESIDENT) |
| Mailing Address: | 11834 County Road 101 Suite 203 Lady Lake |
| State: | FL US |
| Postal Code: | 321629340 |
| Phone Number: | 3526338230 |
| Fax Number: | 3526338232 |
| NPI Enumeration Date: | 02/25/2010 |
| NPI Last Update Date: | 02/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO3406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |