Individual
RYAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
1700 N MERIDIAN RD, TALLAHASSEE, FL 32303-5646
(229) 400-0722
Mailing address
1700 N MERIDIAN RD, TALLAHASSEE, FL 32303-5646
(229) 400-0722
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
13706
FL
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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