Healthcare Provider Details

I. General information

NPI: 1699762906
Provider Name (Legal Business Name): ROBERT ALLEN JOYCE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 SAN MARCO BLVD 3RD FLOOR
JACKSONVILLE FL
32207
US

IV. Provider business mailing address

2234 COLONIAL BLVD ATTN: MANAGED CARE DEPT.
FORT MYERS FL
33907-1412
US

V. Phone/Fax

Practice location:
  • Phone: 904-493-5100
  • Fax: 904-493-5130
Mailing address:
  • Phone: 239-931-7342
  • Fax: 239-931-7385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME0057028
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: