Provider Demographics
NPI:1760552079
Name:WILLIAM T. JOYNER, M.D., P.A.
Entity Type:Organization
Organization Name:WILLIAM T. JOYNER, M.D., P.A.
Other - Org Name:WILLIAM T JOYNER MD PA
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-491-7664
Mailing Address - Street 1:1960 NE 47TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-7708
Mailing Address - Country:US
Mailing Address - Phone:954-491-7664
Mailing Address - Fax:954-491-9342
Practice Address - Street 1:1960 NE 47TH ST STE 105
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-7708
Practice Address - Country:US
Practice Address - Phone:954-491-7664
Practice Address - Fax:954-491-9342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL036784200Medicaid
FLD58585Medicare UPIN
FL036784200Medicaid