# PHILIP N JOHNSON MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083709158
- **Authorized official:** PHILIP N JOHNSON MD (PRESIDENT)
- **Authorized official phone:** (352) 620-2229

## Contact information

- **Practice address:** 1630 SE 18TH ST, \#300, OCALA, FL 34471
- **Practice address phone:** (352) 620-2229
- **Practice address fax:** (352) 620-8833
- **Mailing address:** 1630 SE 18TH ST, BLDG 300, OCALA, FL 34471
- **Mailing address phone:** (352) 620-2229
- **Mailing address fax:** (352) 620-8833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME006682 | FL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 09/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003458000 | — | FL |