Provider Demographics
NPI:1952927196
Name:JOY FAMILY MEDICINE & REGENERATIVE CARE INC.
Entity Type:Organization
Organization Name:JOY FAMILY MEDICINE & REGENERATIVE CARE INC.
Other - Org Name:JOY FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:954-256-5155
Mailing Address - Street 1:15054 SW 34TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-2719
Mailing Address - Country:US
Mailing Address - Phone:954-256-5155
Mailing Address - Fax:954-289-2270
Practice Address - Street 1:1041 IVES DAIRY RD STE 138
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2539
Practice Address - Country:US
Practice Address - Phone:954-256-5155
Practice Address - Fax:954-289-2270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty