Individual
COURTNEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
05/26/2022
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