Healthcare Provider Details

I. General information

NPI: 1356250476
Provider Name (Legal Business Name): JACOB JOYE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4039 NEWBERRY RD
GAINESVILLE FL
32607-2342
US

IV. Provider business mailing address

6106 NW 246TH AVE
ALACHUA FL
32615-4125
US

V. Phone/Fax

Practice location:
  • Phone: 352-224-1667
  • Fax:
Mailing address:
  • Phone: 352-224-1667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License NumberSU40521
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: