MEDICARE: MICHAEL RAY JOHNSON

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	104100000X	Social Worker
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	2928	FL

General Provider Information

NPI Number	:	1992287130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL RAY JOHNSON

Provider Business Mailing Address
First Line	:	900 NW 31 AVE
Second Line	:	SUITE #2000
City	:	FT LAUD
State	:	FL
Zip	:	33311
Country	:	US
Telephone Number	:	954-357-4896
Fax Number	:	954-357-5058

Provider Business Practice Location Address
First Line	:	900 NW 31 AVE
Second Line	:	SUITE #2000
City	:	FT LAUD
State	:	FL
Zip	:	33311
Country	:	US
Telephone Number	:	954-357-4896
Fax Number	:	954-357-5058

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

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	09/04/2018

Similar Medicare Providers

1275667891 — DR. GEORGE WALTERS DDS
Practice Location Address:

915 MIDDLE RIVER DR , 503
FT LAUD, FL
33304

Practice Phone: 954-564-2040
Practice Fax: 954-564-2177

1427300789 — KIDS IN DISTRESS
Practice Location Address:

819 NE 26TH ST.
FT. LAUD, FL
33305

Practice Phone: 954-701-8728
Practice Fax: 561-276-0150

1134510142 — JOSE A GONZALEZ RN
Practice Location Address:

3321 NW 23RD CT
LAUD LAKES, FL
33311-2742

Practice Phone: 786-838-8701
Practice Fax:

1659934859 — HNC MEDICAL SUPPLIES LLC
Practice Location Address:

3738 W OAKLAND PARK BLVD
LAUD LAKES, FL
33311-1157

Practice Phone: 877-706-3837
Practice Fax: 877-571-8129

1962284679 — MARSHALA AKEIBA PATTERSON
Practice Location Address:

3631 NW 30TH PL APT 306
LAUD LAKES, FL
33311-8368

Practice Phone: 347-824-4001
Practice Fax:

1750383352 — MS. SHEILA GIBSON CNM
Practice Location Address:

200 NW 7TH AVE
FT LAUDERDALE, FL
33311-9026

Practice Phone: 954-355-5110
Practice Fax: 954-355-4919

Directions to “ MICHAEL RAY JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.