MEDICARE: JOYFUL MEDICAL CENTER, CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1124609649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL MEDICAL CENTER, CORP

Provider Business Mailing Address
First Line	:	3660 CENTRAL AVE STE 9
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-8258
Country	:	US
Telephone Number	:	239-245-7171
Fax Number	:	239-245-7115

Provider Business Practice Location Address
First Line	:	3660 CENTRAL AVE STE 9
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-8258
Country	:	US
Telephone Number	:	239-245-7171
Fax Number	:	239-245-7115

Authorized Official
Title or Position	:	OWNER
Name	:	LUIS ANTONIO APONTE
Credential	:	MD
Telephone Number	:	239-245-7171

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	06/25/2025

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