MEDICARE: MR. JOANES POLYNICE

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	111N00000X	Chiropractor	CH 7020	FL

General Provider Information

NPI Number	:	1942432299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOANES POLYNICE

Provider Business Mailing Address
First Line	:	PO BOX 681909
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32868-1909
Country	:	US
Telephone Number	:	407-668-4793
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-4408
Country	:	US
Telephone Number	:	407-652-0000
Fax Number	:	407-866-0009

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

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	05/06/2022

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Directions to “ MR. JOANES POLYNICE ” Practice Location

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