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
Phone: (239) 343-2052
Fax: (239) 343-5348
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114923414 | NPPES |
| Florida | MEDICAID | 102037500 | |
| Florida | MEDICAID | 3000235 | |
| Florida | Other | 4160665 | |
| Florida | MEDICAID | 3283015 |
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