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NPI Code Detail

MEDICARE: CAROL CHRISTINE JOHNSON FNP-BC

MEDICARE: CAROL CHRISTINE JOHNSON FNP-BC
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
1363LF0000XFamily Nurse PractitionerARNP3090472FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538501978
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL CHRISTINE JOHNSON FNP-BC
Provider Business Mailing Address
First Line : 3800 S OCEAN DR STE 209
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33019-2915
Country : US
Telephone Number : 800-226-8874
Fax Number :
Provider Business Practice Location Address
First Line : 3800 S OCEAN DR STE 209
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33019-2915
Country : US
Telephone Number : 2-268-8748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2013
Last Update Date : 06/24/2022

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