Individual
SKYLER MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 W OAK ST STE 303, KISSIMMEE, FL 34741-4992
(407) 520-3947
Mailing address
720 W OAK ST STE 303, KISSIMMEE, FL 34741-4992
(407) 520-3947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
03/29/2023
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