Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 33896-9112
(321) 677-0531
Mailing address
7575 OSCEOLA POLK LINE RD, DAVENPORT, FL 33896-9112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11043835
FL
Other
Enumeration date
12/21/2024
Last updated
12/23/2025
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