Healthcare Provider Details

I. General information

NPI: 1093777823
Provider Name (Legal Business Name): JOY M DUNWOODIE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 CLYDE MORRIS BLVD
PORT ORANGE FL
32129-4103
US

IV. Provider business mailing address

4705 CLYDE MORRIS BLVD
PORT ORANGE FL
32129-4103
US

V. Phone/Fax

Practice location:
  • Phone: 269-208-2649
  • Fax:
Mailing address:
  • Phone: 269-208-2649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14057
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR009226
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: