Johnson, Mary Sue

Johnson, Mary Sue is an sole proprietor health care provider with primary practice located at 1560 Santa Barbara Blvd , Lady Lake FL 32159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Mary Sue can be contacted via phone (352) 750-5000.

Contact Information

Primary practice address
1560 Santa Barbara Blvd Lady Lake FL 32159
Phone: (352) 750-5000
Fax: (352) 750-5004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ARNP-3346602 Florida

Profile Details

NPI number 1063420883
LBN Legal business name Johnson, Mary Sue
Credentials ARNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 19 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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