Johnson, Michael Eugene

Johnson, Michael Eugene is an sole proprietor health care provider with primary practice located at 506 N Ridgewood Ave , Edgewater FL 32132-1622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnson, Michael Eugene can be contacted via phone (386) 402-7354.

Contact Information

Primary practice address
506 N Ridgewood Ave Edgewater FL 32132-1622
Phone: (386) 402-7354
Fax: (386) 401-2337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME56901 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME56901 Florida

Profile Details

NPI number 1730145095
LBN Legal business name Johnson, Michael Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Jun 2nd, 2020 - about 4 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 1730145095 NPPES
Florida MEDICAID 379538100

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