Organization
SENIOR HOUSE CALL SVC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A JOHNSON MD (PRESIDENT)
(941) 981-5643
Entity
Organization
Contact information
Practice address
1515 9TH ST W, PALMETTO, FL 34221-4463
(941) 891-5643
(941) 981-5644
Mailing address
1515 9TH STREET W, PALMETTO, FL 34221-4463
(941) 981-5642
(941) 981-5644
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME23667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001642900
—
FL
Enumeration date
09/25/2009
Last updated
10/04/2012
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