Healthcare Provider Details
I. General information
NPI: 1356310668
Provider Name (Legal Business Name): JAMES JOSEPH JOYCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/17/2006
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8705 PERIMETER PARK BLVD STE 8
JACKSONVILLE FL
32216-6353
US
IV. Provider business mailing address
PO BOX 40767
JACKSONVILLE FL
32203-0767
US
V. Phone/Fax
- Phone: 904-296-7771
- Fax: 904-296-7772
- Phone: 904-376-3707
- Fax: 904-391-5001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | ME90028 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ME90028 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0202X |
| Taxonomy | Pediatric Cardiology Physician |
| License Number | ME90028 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: