Johnson, Mark Anthony
Johnson, Mark Anthony is an sole proprietor health care provider with primary practice located at 811 Ridgewood Avenue , Venice FL 34285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Johnson, Mark Anthony can be contacted via phone (941) 480-0600.Contact Information
Primary practice address
811 Ridgewood Avenue
Venice FL 34285
Phone: (941) 480-0600
Fax: (941) 485-8090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME64457 | Florida |
Profile Details
| NPI number | 1205803418 |
|---|---|
| LBN Legal business name | Johnson, Mark Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Sep 12th, 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 | 1205803418 | NPPES |
| Florida | MEDICAID | 379740600 |
Popular Providers
-
De Rojas, Joaquin
1360 E Venice Ave , Venice FL 34285-9066 -
Kane, Steven E
717 E Venice Ave , Venice FL 34285-7038 -
Durrett, Scott P
1219 Jacaranda Blvd , Venice FL 34292-4520 -
Ryser, David F
2251 Dubois Dr , Warsaw IN 46580-3212 -
Kim, Joshua W
1360 E Venice Ave , Venice FL 34285-9066 -
Mccann, Jesse Thomas
1360 E Venice Ave , Venice FL 34285-9066 -
Shoemaker, David William
1360 E Venice Ave , Venice FL 34285-9066 -
Fezza, John P
1370 E Venice Ave Ste 205 , Venice FL 34285-9084