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Organization
LARRY D JOHNSON DC LLC
Active
Organization
LARRY D JOHNSON DC LLC
Active
Parent organization
LARRY D JOHNSON DC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LARRY D JOHNSON DC LLC
Authorized official
DR. LARRY DEAN JOHNSON DC (MGR)
(239) 574-5559
Entity
Organization
Contact information
Practice address
1510 HANCOCK BRIDGE PKWY #6, CAPE CORAL, FL 33990-1715
(239) 574-5559
(239) 574-9454
Mailing address
1510 HANCOCK BRIDGE PKWY #6, CAPE CORAL, FL 33990-1715
(239) 574-5559
(239) 574-9454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381717200
—
FL
Enumeration date
12/22/2009
Last updated
01/26/2024
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