Provider Demographics
NPI:1578820650
Name:JOYNER, DIANNE (RCS, RVS, RVT)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:
Last Name:JOYNER
Suffix:
Gender:F
Credentials:RCS, RVS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 ALTERNATE 19 SOUTH
Mailing Address - Street 2:#63
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683
Mailing Address - Country:US
Mailing Address - Phone:850-206-4800
Mailing Address - Fax:
Practice Address - Street 1:455 ALTERNATE 19 S
Practice Address - Street 2:#63
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-5950
Practice Address - Country:US
Practice Address - Phone:850-206-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55827246XS1301X
FL1109432471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography