=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649357518
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL ABOUT KIDS AND FAMILIES MEDICAL CENTER, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/31/2006
-----------------------------------------------------
Last Update Date | 10/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5045 SOUTEL DR SUITE 13
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32208-1898
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-854-0470
-----------------------------------------------------
Fax | 904-854-0471
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 552307
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33655-2307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-854-7202
-----------------------------------------------------
Fax | 904-378-0216
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER PHYSICIAN
-----------------------------------------------------
Name | DR. JAMES A JOYNER IV
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 904-854-7202
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------