Johnson, Suzanne M.

Johnson, Suzanne M. is an individual health care provider with primary practice located at 5309 Fruitville Rd , Sarasota FL 34232-6402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Johnson, Suzanne M. can be contacted via phone (941) 909-7847.

Contact Information

Primary practice address
5309 Fruitville Rd Sarasota FL 34232-6402
Phone: (941) 909-7847
Fax: (844) 388-6186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35068401 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35.068401 Ohio

Profile Details

NPI number 1912944984
LBN Legal business name Johnson, Suzanne M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 8th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912944984 NPPES
Ohio MEDICAID 0155602

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