Johnson, Peter Stuart

Johnson, Peter Stuart is an individual health care provider with primary practice located at 1600 S Andrews Avenue Broward General Medical Center, Fort Lauderdale FL 33316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Johnson, Peter Stuart can be contacted via phone (954) 355-5589.

Contact Information

Primary practice address
1600 S Andrews Avenue Broward General Medical Center Fort Lauderdale FL 33316
Phone: (954) 355-5589
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME035836 Florida

Profile Details

NPI number 1003872607
LBN Legal business name Johnson, Peter Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Sep 25th, 2008 - about 16 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 1003872607 NPPES
Florida MEDICAID 068175000
Florida Other 94119

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