Johnson, Robert Edward

Johnson, Robert Edward is an individual health care provider with primary practice located at 125 Sw 7Th St , Williston FL 32696-2403. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Robert Edward can be contacted via phone (352) 528-2801.

Contact Information

Primary practice address
125 Sw 7Th St Williston FL 32696-2403
Phone: (352) 528-2801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9102838 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-02065 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005331 Georgia

Profile Details

NPI number 1609969674
LBN Legal business name Johnson, Robert Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 17th, 2014 - about 10 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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