Provider Demographics
NPI:1508956277
Name:JOYNER, RONALD L (PT)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:L
Last Name:JOYNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 25TH WAY S
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-5665
Mailing Address - Country:US
Mailing Address - Phone:727-866-9993
Mailing Address - Fax:727-867-8419
Practice Address - Street 1:6501 25TH WAY S
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-5665
Practice Address - Country:US
Practice Address - Phone:727-866-9993
Practice Address - Fax:727-867-8419
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23492251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL083634OtherAVMED
FLQ20OtherBLUE CROSS
FL224890OtherAMERIGROUP
FL106654Medicare ID - Type Unspecified