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Individual

DORIS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
518 SW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983
(772) 873-8811
(772) 873-8800
Mailing address
3801 SW JACOBS ST, PORT SAINT LUCIE, FL 34953-3964
(561) 352-8150

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
FL

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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