Organization
JOHNSON ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY C JOHNSON CRNA (PRESIDENT)
(239) 470-1674
Entity
Organization
Contact information
Practice address
600 N CATTLEMEN RD, SUITE 100, SARASOTA, FL 34232-6422
(239) 470-1674
(941) 924-5270
Mailing address
8499 S TAMIAMI TRL, PMB #230, SARASOTA, FL 34238-2960
(239) 470-1674
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
932572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9011
BCBS FL
—
Enumeration date
10/27/2007
Last updated
05/06/2008
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