Individual
MARK C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S TAMIAMI TRAIL, SARASOTA, FL 34239
(941) 917-8507
(941) 917-8551
Mailing address
1700 S TAMIAMI TR, SARASOTA EMERGENCY ASSOCIATES PC, SARASOTA, FL 34239
(941) 917-8507
(941) 917-8551
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME82651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31019
BLUE CROSS BLUE SHIELD
FL
01
—
P00271271
RAILROAD MEDICARE
—
Enumeration date
02/22/2006
Last updated
07/08/2007
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