Individual
MATTHEW JULIUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1950 ARLINGTON ST, SUITE 400, SARASOTA, FL 34239-3507
(941) 917-4250
(941) 917-4257
Mailing address
1950 ARLINGTON ST, SUITE 400, SARASOTA, FL 34239-3507
(941) 917-4250
(941) 917-4257
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAT9104073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009673000
—
FL
01
—
PAT9104073
STATE LICENSE NUMBER
FL
Enumeration date
02/26/2007
Last updated
11/20/2013
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