Individual
STEPHANIE MARGARET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3801 E HIGHWAY 98, ER, PORT ST JOE, FL 32456-5318
(850) 229-5600
Mailing address
146 SEABREEZE CIR, PANAMA CITY BEACH, FL 32413-7009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101016477
MI
207P00000X
Emergency Medicine Physician
Primary
OS10696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001329300
—
FL
Enumeration date
05/04/2007
Last updated
02/26/2014
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