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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003872607 | NPPES |
| Florida | MEDICAID | 068175000 | |
| Florida | Other | 94119 |
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