Provider Demographics
NPI:1386757540
Name:BOYNE, JOY R (MD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:R
Last Name:BOYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6869 BELFORT OAKS PL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6242
Mailing Address - Country:US
Mailing Address - Phone:904-281-1988
Mailing Address - Fax:904-281-0852
Practice Address - Street 1:6869 BELFORT OAKS PL
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6242
Practice Address - Country:US
Practice Address - Phone:904-281-1988
Practice Address - Fax:904-281-0852
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME51530207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10351OtherBLUE CROSS BLUE SHIELD FL
FL2121184OtherAETNA
FL593554140OtherTAX IDENTIFICATION NUMBER
FL070013112OtherRAILROAD MEDICARE
FL10351AMedicare ID - Type Unspecified
FLE71121Medicare UPIN