Johnson, Victoria Mae

Johnson, Victoria Mae is an sole proprietor health care provider with primary practice located at 400 Ne 177Th St , North Miami Beach FL 33162-1914. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Johnson, Victoria Mae can be contacted via phone (786) 423-7033.

Contact Information

Primary practice address
400 Ne 177Th St North Miami Beach FL 33162-1914
Phone: (786) 423-7033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1528690658
LBN Legal business name Johnson, Victoria Mae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 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 1528690658 NPPES
Florida MEDICAID 7636

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