Individual
AMY CARTY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA91078326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010033300
—
FL
01
—
PA9107326
LICENSE
FL
Enumeration date
08/30/2013
Last updated
12/23/2013
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