Individual
DR. MEGAN ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU. D.
Contact information
Practice address
4202 E FOWLER AVE, PCD-1017, TAMPA, FL 33620-6750
(813) 974-8804
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 2038
FL
237600000X
Audiologist-Hearing Aid Fitter
AY2038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018457600
—
FL
05
—
018457601
—
FL
01
—
4RJ83
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/17/2016
Last updated
02/21/2017
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