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Contact Information

MARY S JOHNSON, ARNP-C
1560 SANTA BARBARA BLVD
LADY LAKE, FL32159
 Phone: 352-750-5000
 Fax: 352-750-5004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARY S JOHNSON · (Female)

NPI # 1063420883
Status Active
Credentials ARNP-C
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ARNP-3346602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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