Johnson, Walter G
Johnson, Walter G is an individual health care provider with primary practice located at 150 N Sykes Creek Pkwy # 300, Merritt Island FL 32953-3488. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Johnson, Walter G can be contacted via phone (321) 452-3811.Contact Information
Primary practice address
150 N Sykes Creek Pkwy # 300
Merritt Island FL 32953-3488
Phone: (321) 452-3811
Fax: (321) 454-4026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME56254 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME56254 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME56254 | Florida |
Profile Details
| NPI number | 1871503607 |
|---|---|
| LBN Legal business name | Johnson, Walter G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Sep 6th, 2016 - about 8 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 | 1871503607 | NPPES |
| Florida | MEDICAID | 069823700 |
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