Provider Demographics
NPI:1295763076
Name:TURNER, JOHN BOYD (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BOYD
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 SOUTH NOVA RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174
Mailing Address - Country:US
Mailing Address - Phone:386-676-9300
Mailing Address - Fax:386-676-9050
Practice Address - Street 1:800 SOUTH NOVA RD
Practice Address - Street 2:SUITE I
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174
Practice Address - Country:US
Practice Address - Phone:386-676-9300
Practice Address - Fax:386-676-9050
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME33972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL065397700Medicaid
E19725Medicare UPIN
FL065397700Medicaid