Individual
DR. CHERYL DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME117062
FL
208000000X
Pediatrics Physician
ME117062
FL
208M00000X
Hospitalist Physician
Primary
ME117062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102037500
—
FL
05
—
3000235
—
TN
05
—
3283015
—
TN
01
—
4160665
BCBS
TN
Enumeration date
06/22/2005
Last updated
08/22/2024
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