Individual
MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6200 ANCHOR LN, ROCKLEDGE, FL 32955-5707
(954) 770-2824
Mailing address
6200 ANCHOR LN, ROCKLEDGE, FL 32955-5707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9385429
FL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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