Johnson, Mary Sue
Johnson, Mary Sue is an sole proprietor health care provider with primary practice located at 1560 Santa Barbara Blvd , Lady Lake FL 32159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Mary Sue can be contacted via phone (352) 750-5000.Contact Information
Primary practice address
1560 Santa Barbara Blvd
Lady Lake FL 32159
Phone: (352) 750-5000
Fax: (352) 750-5004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ARNP-3346602 | Florida |
Profile Details
| NPI number | 1063420883 |
|---|---|
| LBN Legal business name | Johnson, Mary Sue |
| Credentials | ARNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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