Provider Demographics
NPI:1104127711
Name:SAVITZ, JOYCE ANN (JOYCE SAVITZ)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:SAVITZ
Suffix:
Gender:F
Credentials:JOYCE SAVITZ
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:SAVITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JOYCE SAVITZ
Mailing Address - Street 1:476 10TH AVE S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-5138
Mailing Address - Country:US
Mailing Address - Phone:904-249-1111
Mailing Address - Fax:
Practice Address - Street 1:391 3RD AVE S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-5419
Practice Address - Country:US
Practice Address - Phone:904-249-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA5460225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist