Johnson, Gary R
Johnson, Gary R is an sole proprietor health care provider with primary practice located at 320 1St St N , Winter Haven FL 33881-4113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Gary R can be contacted via phone (863) 508-0202.Contact Information
Primary practice address
320 1St St N
Winter Haven FL 33881-4113
Phone: (863) 508-0202
Fax: (863) 293-4994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME36696 | Florida |
Profile Details
| NPI number | 1740240837 |
|---|---|
| LBN Legal business name | Johnson, Gary R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jan 10th, 2012 - about 12 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 | 1740240837 | NPPES |
| Florida | Other | 060063442 | RAILROAD MEDICARE |
| Florida | Other | 53792 | RAILROAD MEDICARE |
| Florida | MEDICAID | 042162600 | RAILROAD MEDICARE |
Popular Providers
-
Chandrasekhar, Kollagunta Sreenivasa
320 1St St N , Winter Haven FL 33881-4113 -
Subraya, Raviprasad G
483 N Semoran Blvd Ste 102, Winter Park FL 32792-3800 -
Bolanos, Rodrigo A
200 Avenue F Ne Ste 9118 , Winter Haven FL 33881-4131 -
Giusti, Richard P
Bond Clinic, P.A. 500 East Central Avenue, Winter Haven FL 33880 -
Vigoreaux, Jose R
500 E Central Ave Bond Clinic, P.A., Winter Haven FL 33880-3053 -
Reddy, Karan G
483 N Semoran Blvd Ste 102, Winter Park FL 32792-3800 -
Kramer, Randall B
635 1St St N , Winter Haven FL 33881-4129 -
Kothari, Milan A
483 N Semoran Blvd Suite 102, Winter Park FL 32792-3800