Organization
GORDON M JOHNSON ARNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON MACK JOHNSON IV ARNP/CRNA (OWNER)
(352) 572-0427
Entity
Organization
Contact information
Practice address
3230 SE 45TH ST, OCALA, FL 34480-9309
(352) 572-0427
Mailing address
3230 SE 45TH ST, OCALA, FL 34480-9309
(352) 572-0427
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9231283
FL
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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