Johnson, Paul M

Johnson, Paul M is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd , Daytona Beach FL 32114-2781. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Johnson, Paul M can be contacted via phone (386) 425-4267.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Daytona Beach FL 32114-2781
Phone: (386) 425-4267
Fax: (386) 425-4879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME160203 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME160203 Florida

Profile Details

NPI number 1780767616
LBN Legal business name Johnson, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Dec 20th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780767616 NPPES
Montana Other 000093475 BLUE CROSS
Montana Other 080192535 BLUE CROSS
Montana MEDICAID 0058327 BLUE CROSS
Montana MEDICAID 12219 BLUE CROSS

Popular Providers