Johnson, Victoria Mae
Johnson, Victoria Mae is an sole proprietor health care provider with primary practice located at 400 Ne 177Th St , North Miami Beach FL 33162-1914. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Johnson, Victoria Mae can be contacted via phone (786) 423-7033.Contact Information
Primary practice address
400 Ne 177Th St
North Miami Beach FL 33162-1914
Phone: (786) 423-7033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1528690658 |
|---|---|
| LBN Legal business name | Johnson, Victoria Mae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2020 |
| Last updated | Feb 6th, 2020 - about 6 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 | 1528690658 | NPPES |
| Florida | MEDICAID | 7636 |
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