Healthcare Provider Details

I. General information

NPI: 1124609649
Provider Name (Legal Business Name): JOYFUL MEDICAL CENTER, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3660 CENTRAL AVE STE 9
FORT MYERS FL
33901-8258
US

IV. Provider business mailing address

3660 CENTRAL AVE STE 9
FORT MYERS FL
33901-8258
US

V. Phone/Fax

Practice location:
  • Phone: 239-245-7171
  • Fax: 239-245-7115
Mailing address:
  • Phone: 239-245-7171
  • Fax: 239-245-7115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUIS ANTONIO APONTE
Title or Position: OWNER
Credential: MD
Phone: 239-245-7171