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Individual
NATASHA NICOLE JOHNSON
Active
Individual
NATASHA NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107999
FL
363AS0400X
Surgical Physician Assistant
PA9107999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013505800
—
FL
01
—
HV398Y
MEDICARE
FL
01
—
HV398Z
MEDICARE
FL
Enumeration date
06/30/2014
Last updated
11/03/2023
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