Individual
MS. MEGAN LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2809 CORRINE DR, ORLANDO, FL 32803-2235
(407) 898-9922
(407) 898-9944
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME119250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012016200
—
FL
01
—
HW471Z
MEDICARE
FL
Enumeration date
05/26/2010
Last updated
06/23/2023
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