Provider Demographics
NPI:1194757898
Name:LLOYD, ERROL S (MD)
Entity type:Individual
Prefix:
First Name:ERROL
Middle Name:S
Last Name:LLOYD
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 1:4224 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6633
Mailing Address - Country:US
Mailing Address - Phone:954-966-3600
Mailing Address - Fax:954-967-1962
Practice Address - Street 1:4224 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6633
Practice Address - Country:US
Practice Address - Phone:954-966-3600
Practice Address - Fax:954-967-1962
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94970174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C68979Medicare UPIN