Johanson, Gary
Johanson, Gary is an individual health care provider with primary practice located at 1460 Cornerstone Blvd , Daytona Beach FL 32117-7174. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Johanson, Gary can be contacted via phone (386) 760-3330.Contact Information
Primary practice address
1460 Cornerstone Blvd
Daytona Beach FL 32117-7174
Phone: (386) 760-3330
Fax: (386) 274-2051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 01914 | Florida |
Profile Details
| NPI number | 1871286153 |
|---|---|
| LBN Legal business name | Johanson, Gary |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2023 |
| Last updated | Jun 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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