Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | ME101824 | FL |
NPI | 1386755288 |
---|---|
Provider Name | Dr. Michael S Joyner |
First Address | Boca Raton, FL 33428-1762 |
Second Address | Boca Raton, FL 33428-1762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 14/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
145EF | BCBS (01) | FL |
710010850 | (05) | KY |
H08970 | (02) | KY |
P00671662 | RR MEDICARE (01) | FL |