Johnson, Cheryl Diane

Johnson, Cheryl Diane is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Johnson, Cheryl Diane can be contacted via phone (239) 343-2052.

Contact Information

Primary practice address
9981 S Healthpark Dr Fort Myers FL 33908-3618
Fax: (239) 343-5348
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME117062 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME117062 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME117062 Florida

Profile Details

NPI number 1114923414
LBN Legal business name Johnson, Cheryl Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 29th, 2021 - about 3 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 1114923414 NPPES
Florida MEDICAID 102037500
Florida MEDICAID 3000235
Florida Other 4160665
Florida MEDICAID 3283015

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