Johnson, Megan Brook
Johnson, Megan Brook is an individual health care provider with primary practice located at 4168 Woodlands Pkwy Ste B , Palm Harbor FL 34685-3496. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Johnson, Megan Brook can be contacted via phone (813) 925-9431.Contact Information
Primary practice address
4168 Woodlands Pkwy Ste B
Palm Harbor FL 34685-3496
Phone: (813) 925-9431
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO 3663 | Florida |
Profile Details
| NPI number | 1114211299 |
|---|---|
| LBN Legal business name | Johnson, Megan Brook |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2011 |
| Last updated | Jun 10th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114211299 | NPPES |
| Florida | Other | 7720870001 | DMERC |
| Florida | Other | 480011623 | DMERC |
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