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Individual

DR. PETER STUART JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 S ANDREWS AVENUE, BROWARD GENERAL MEDICAL CENTER, FORT LAUDERDALE, FL 33316
(954) 355-5589
Mailing address
PO BOX 890, BLUEFIELD, WV 24701-0890

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME035836
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068175000
FL
01
94119
BCBS OF FL
FL
Enumeration date
04/22/2006
Last updated
09/25/2008
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