Provider Demographics
NPI:1962535773
Name:JOYNER, RALPH E (DC MS)
Entity type:Individual
Prefix:MR
First Name:RALPH
Middle Name:E
Last Name:JOYNER
Suffix:
Gender:M
Credentials:DC MS
Other - Prefix:MR
Other - First Name:RALPH
Other - Middle Name:
Other - Last Name:JOYNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC MS
Mailing Address - Street 1:546 AVE A.
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881
Mailing Address - Country:US
Mailing Address - Phone:863-294-2000
Mailing Address - Fax:863-292-9697
Practice Address - Street 1:546 AVE A
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881
Practice Address - Country:US
Practice Address - Phone:863-294-2000
Practice Address - Fax:863-382-9632
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL382161700Medicaid
FL382161700Medicaid