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Individual

DR. MATTHEW DAVID JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P.

Contact information

Practice address
1201 LOUISIANA AVE, SUITE E, WINTER PARK, FL 32789-2340
(407) 644-2990
(407) 644-4370
Mailing address
8091 MARITIME FLAG ST, 9101, WINDERMERE, FL 34786-5575
(407) 217-2609
(407) 644-4370

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2933
FL

Other

Enumeration date
01/31/2011
Last updated
01/31/2011
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