MEDICARE: DR. DAVID M JOYCE DO

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	OS15192	FL
2	207Q00000X	Family Medicine Physician	OS15192	FL
3	208VP0000X	Pain Medicine Physician	OS15192	FL
4	208VP0014X	Interventional Pain Medicine Physician	OS15192	FL

General Provider Information

NPI Number	:	1255733531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M JOYCE DO

Provider Business Mailing Address
First Line	:	3801 SW 117TH AVE # 1400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33265-6901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4109 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-5530
Country	:	US
Telephone Number	:	425-445-8696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2014
Last Update Date	:	07/03/2020

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