Organization
MARK JOHNSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LEIGH JOHNSON (SECRETARY TREASURER PRACTICE MANAGE)
(941) 918-9522
Entity
Organization
Contact information
Practice address
811 RIDGEWOOD AVE, VENICE, FL 34285
(941) 480-0600
(941) 485-8090
Mailing address
1824 ISLAND WAY, OSPREY, FL 34229
(941) 918-9522
(941) 918-1482
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME64457
FL
Other
Enumeration date
02/09/2006
Last updated
08/22/2020
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