Individual
EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU. D
Contact information
Practice address
1601 CLINT MOORE RD, BOCA RATON, FL 33487-2768
(561) 393-9150
Mailing address
1601 CLINT MOORE RD, BOCA RATON, FL 33487-2768
(561) 393-9150
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1704
FL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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