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Contact Information

MARK JOHNSON MD PA
811 RIDGEWOOD AVE
VENICE, FL34285
 Phone: 941-480-0600
 Fax: 941-485-8090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MARK JOHNSON MD PA

NPI Number 1730152752
LBN Legal business name MARK JOHNSON MD PA
Authorized official KAREN JOHNSON - (SECRETARY TREASURER PRACTICE MANAGE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # ME64457
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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