Individual
MISS DOREEN LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
601 N CONGRESS AVE, SUITE 113-A, BOYNTON BEACH, FL 33426-3444
(561) 381-9979
(561) 381-9989
Mailing address
263 LAKE MONTEREY CIR, BOYNTON BEACH, FL 33426-8443
(954) 608-6352
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102545
FL
Other
Enumeration date
12/04/2006
Last updated
05/26/2011
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