Organization
INJURY MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH MITCHELL JOHNSON M.D. (MANAGER)
(954) 298-4015
Entity
Organization
Contact information
Practice address
4010 NW 100TH AVE, CORAL SPRINGS, FL 33065-1549
(954) 298-4015
(954) 341-9772
Mailing address
4010 NW 100TH AVE, CORAL SPRINGS, FL 33065-1549
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
ME043407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278013503
—
FL
Enumeration date
07/10/2012
Last updated
07/10/2012
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