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Individual

DR. CASEY DANIEL EDWARD JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1900 S TUTTLE AVE, SARASOTA, FL 34239-3114
(941) 330-8885
Mailing address
621 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141-8265
(314) 251-6062
(314) 251-4376

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS21187
FL

Other

Enumeration date
06/19/2020
Last updated
07/01/2024
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