MEDICARE: Dr Erika Leigh Johnson MD ERIKA LEIGH JOHNSON MD

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	207Q00000X	Family Medicine	ME124467	FL

General Provider Information

NPI Number	:	1609003748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	Dr Erika Leigh Johnson MD ERIKA LEIGH JOHNSON MD

Provider Business Mailing Address
First Line	:	12264 TAMIAMI TRL E
Second Line	:	SUITE 201
City	:	NAPLES
State	:	FL
Zip	:	34113-7942
Country	:	US
Telephone Number	:	239-352-9991
Fax Number	:

Provider Business Practice Location Address
First Line	:	12264 TAMIAMI TRL E
Second Line	:	SUITE 201
City	:	NAPLES
State	:	FL
Zip	:	34113-7942
Country	:	US
Telephone Number	:	239-352-9991
Fax Number	:

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

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	08/28/2015

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