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Organization

PHILIP N JOHNSON MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP N JOHNSON MD (PRESIDENT)
(352) 620-2229
Entity
Organization

Contact information

Practice address
1630 SE 18TH ST, #300, OCALA, FL 34471
(352) 620-2229
(352) 620-8833
Mailing address
1630 SE 18TH ST, BLDG 300, OCALA, FL 34471
(352) 620-2229
(352) 620-8833

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME006682
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003458000
FL
Enumeration date
10/04/2006
Last updated
09/19/2016
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