Johnson, Melody Marie

Johnson, Melody Marie is an sole proprietor health care provider with primary practice located at 357 Wekiva Springs Rd , Longwood FL 32779-3607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Melody Marie can be contacted via phone (407) 862-1163.

Contact Information

Primary practice address
357 Wekiva Springs Rd Longwood FL 32779-3607
Phone: (407) 862-1163
Fax: (407) 774-1877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3320 Florida

Profile Details

NPI number 1427271907
LBN Legal business name Johnson, Melody Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
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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