MEDICARE: DR. JOY M DUNWOODIE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH14057	FL
2	111N00000X	Chiropractor	CHIR009226	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950A100100	OTHER	MI	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1093777823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOY M DUNWOODIE DC

Provider Business Mailing Address
First Line	:	4705 CLYDE MORRIS BLVD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4103
Country	:	US
Telephone Number	:	269-208-2649
Fax Number	:

Provider Business Practice Location Address
First Line	:	4705 CLYDE MORRIS BLVD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4103
Country	:	US
Telephone Number	:	269-208-2649
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	06/11/2026

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Directions to “ DR. JOY M DUNWOODIE DC” Practice Location

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