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NPI Profile for COURTNEY JOHNSON in BRADENTON, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1164946752 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/26/2017 | |
| Last updated | 05/27/2026 - About 2 weeks ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) |
|
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COURTNEY JOHNSON
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COURTNEY JOHNSON