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Individual

MRS. JOYCE META DWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1607 SAINT JAMES CT STE 2, TALLAHASSEE, FL 32308-5352
(850) 878-8714
(850) 878-2464
Mailing address
1607 SAINT JAMES CT STE 2, TALLAHASSEE, FL 32308-5352

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1544132
FL
363LF0000X
Family Nurse Practitioner
1544132
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308539200
FL
01
99388
MEDICARE PART B, ASSOCIATED GROUP PTAN
FL
01
AK227Z
MEDICARE INDIVIDUAL PTAN
FL
Enumeration date
08/06/2007
Last updated
03/09/2018
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