Healthcare Provider Details

I. General information

NPI: 1255733531
Provider Name (Legal Business Name): DAVID M JOYCE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2014
Last Update Date: 07/03/2020
Certification Date: 07/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4109 N FEDERAL HWY
FORT LAUDERDALE FL
33308-5530
US

IV. Provider business mailing address

3801 SW 117TH AVE # 1400
MIAMI FL
33265-6901
US

V. Phone/Fax

Practice location:
  • Phone: 425-445-8696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberOS15192
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS15192
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberOS15192
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberOS15192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: