MEDICARE: DR. SEAN JOHNSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH7365	FL

General Provider Information

NPI Number	:	1114923273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN JOHNSON DC

Provider Business Mailing Address
First Line	:	14147 US HWY #1
Second Line	:
City	:	JUNO BEACH
State	:	FL
Zip	:	33408-5132
Country	:	US
Telephone Number	:	561-848-3861
Fax Number	:	561-694-1338

Provider Business Practice Location Address
First Line	:	14147 US HIGHWAY 1
Second Line	:
City	:	JUNO BEACH
State	:	FL
Zip	:	33408-1427
Country	:	US
Telephone Number	:	561-848-3861
Fax Number	:	561-694-1338

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	02/15/2012

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Directions to “ DR. SEAN JOHNSON DC” Practice Location

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