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Individual

EVE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
400 AVENUE K SE, SUITE 11, WINTER HAVEN, FL 33880-4146
(863) 294-4404
(863) 294-4404
Mailing address
400 AVENUE K SE, SUITE 11, WINTER HAVEN, FL 33880-4146
(863) 294-4404
(863) 294-4404

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104149
FL

Other

Enumeration date
09/29/2005
Last updated
05/14/2008
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