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Individual

CAROL CHRISTINE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(002) 268-8748
Mailing address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(800) 226-8874

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3090472
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110003500
FL
Enumeration date
07/26/2013
Last updated
06/24/2022
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