Smith, Johnna

Smith, Johnna is an individual health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Smith, Johnna can be contacted via phone (941) 917-1668.

Contact Information

Primary practice address
1700 S Tamiami Trl Sarasota FL 34239-3509
Fax: (941) 917-4232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2612242 Florida

Profile Details

NPI number 1508806571
LBN Legal business name Smith, Johnna
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 6th, 2012 - about 12 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 1508806571 NPPES
Florida MEDICAID 305410100

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