Provider Demographics
NPI:1730837352
Name:FLOYD, RONITA MEAHON (DRIVER)
Entity type:Individual
Prefix:PROF
First Name:RONITA
Middle Name:MEAHON
Last Name:FLOYD
Suffix:
Gender:F
Credentials:DRIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4334 ASHLAND CITY HWY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-2402
Mailing Address - Country:US
Mailing Address - Phone:615-902-4625
Mailing Address - Fax:
Practice Address - Street 1:4334 ASHLAND CITY HWY
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-2402
Practice Address - Country:US
Practice Address - Phone:615-902-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN085585100343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)