MEDICARE: JOYCE BUSH

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	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	S0-11-1160GH	FL

General Provider Information

NPI Number	:	1982556338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE BUSH

Provider Business Mailing Address
First Line	:	3470 NW 174TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4148
Country	:	US
Telephone Number	:	786-616-6259
Fax Number	:

Provider Business Practice Location Address
First Line	:	3470 NW 174TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4148
Country	:	US
Telephone Number	:	786-616-6259
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ JOYCE BUSH ” Practice Location

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