Johnson, Suzanne Sandra

Johnson, Suzanne Sandra is an sole proprietor health care provider with primary practice located at 1120 10Th St E , Palmetto FL 34221-4134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Suzanne Sandra can be contacted via phone (941) 847-7903.

Contact Information

Primary practice address
1120 10Th St E Palmetto FL 34221-4134
Phone: (941) 847-7903
Fax: (941) 847-7919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N/A Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS10891 Florida

Profile Details

NPI number 1194953695
LBN Legal business name Johnson, Suzanne Sandra
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Aug 18th, 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 1194953695 NPPES
Florida MEDICAID 022946300
Florida Other OS10891

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