Individual
JOHNSON MONESTIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7456 VISCAYA CIR, MARGATE, FL 33063-6892
(772) 985-6651
Mailing address
7456 VISCAYA CIR, MARGATE, FL 33063-6892
(772) 985-6651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1132-PA
PR
363AS0400X
Surgical Physician Assistant
—
MO
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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