MEDICARE: DR. JOY R GITTIN-BOYNE M.D.

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	207N00000X	Dermatology Physician	ME51530	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	070013112	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10351	OTHER	FL	BLUE CROSS BLUE SHIELD FL
2	2121184	OTHER	FL	AETNA
3	593554140	OTHER	FL	TAX IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1386757540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOY R GITTIN-BOYNE M.D.

Provider Business Mailing Address
First Line	:	6869 BELFORT OAKS PL
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-6242
Country	:	US
Telephone Number	:	904-281-1988
Fax Number	:	904-281-0852

Provider Business Practice Location Address
First Line	:	6869 BELFORT OAKS PL
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-6242
Country	:	US
Telephone Number	:	904-281-1988
Fax Number	:	904-281-0852

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	10/21/2025

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Directions to “ DR. JOY R GITTIN-BOYNE M.D.” Practice Location

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