Provider Demographics
NPI:1073669909
Name:HAYNES, JOAN SPINNER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:SPINNER
Last Name:HAYNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3912 ROSEMARY DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-1717
Mailing Address - Country:US
Mailing Address - Phone:941-567-9172
Mailing Address - Fax:
Practice Address - Street 1:939 PONDELLA RD
Practice Address - Street 2:
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-3532
Practice Address - Country:US
Practice Address - Phone:239-656-3461
Practice Address - Fax:239-656-3462
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0082263204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM