Provider Demographics
NPI:1194748947
Name:BOYD, JAMES CARVER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARVER
Last Name:BOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-3949
Mailing Address - Country:US
Mailing Address - Phone:850-434-5717
Mailing Address - Fax:850-469-0052
Practice Address - Street 1:2280 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-3949
Practice Address - Country:US
Practice Address - Phone:850-434-5717
Practice Address - Fax:850-469-0052
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00128422086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL17281Medicare ID - Type Unspecified
FLD61960Medicare UPIN