Individual
MR. STEPHEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
2012 SARA LEE LN, TALLAHASSEE, FL 32312-3546
(850) 321-7443
(850) 321-7443
Mailing address
2012 SARA LEE LN, TALLAHASSEE, FL 32312-3546
(850) 321-7443
(850) 321-7443
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA468
FL
Other
Enumeration date
06/15/2018
Last updated
05/24/2024
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