| Doctor Name: | SHANNON FLOYD |
| NPI Number: | 1235463001 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | PO 3406 |
| Business Practice Address: | 11834 County Road 101 Suite 203 Lady Lake, FL - 321629340 |
| Business Phone Number: | 3526338230 |
| Business Fax Number: | 3526338232 |
| Mailing Address: | 4900 Sw 46th Ct, 2108 OCALA |
| State: | FL |
| Postal Code: | 344746264 |
| Phone Number: | 3523543730 |
| Fax Number: | 3525097340 |
| NPI Enumeration Date: | 09/28/2009 |
| NPI Last Update Date: | 02/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO 3406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |