Provider Demographics
NPI:1942432299
Name:POLYNICE, JOANES
Entity Type:Individual
Prefix:MR
First Name:JOANES
Middle Name:
Last Name:POLYNICE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681909
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32868-1909
Mailing Address - Country:US
Mailing Address - Phone:407-668-4793
Mailing Address - Fax:
Practice Address - Street 1:1410 N PINE HILLS RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4408
Practice Address - Country:US
Practice Address - Phone:407-652-0000
Practice Address - Fax:407-866-0009
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor