Individual
MRS. CARL A JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7512 FOREST BLVD, NORTH LAUDERDALE, FL 33068-1333
(754) 244-2177
Mailing address
7512 FOREST BLVD, NORTH LAUDERDALE, FL 33068-1333
(754) 244-2177
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MT513835
FL
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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