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Individual

JAMES THOMAS JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
28839 VERMILLION LN, BONITA SPRINGS, FL 34135-8590
(586) 817-0668
Mailing address
28839 VERMILLION LN, BONITA SPRINGS, FL 34135-8590
(586) 817-0668

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139316
FL

Other

Enumeration date
01/11/2022
Last updated
01/11/2022
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