Individual
DR. MEGAN BROOK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
4168 WOODLANDS PKWY STE B, PALM HARBOR, FL 34685-3496
(813) 925-9431
Mailing address
4168 WOODLANDS PKWY STE B, PALM HARBOR, FL 34685-3496
(813) 925-9431
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480011623
RAILROAD MEDICARE
FL
01
—
7720870001
DMERC
FL
Enumeration date
06/06/2011
Last updated
06/10/2024
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