MARY JOHNSON

DAVENPORT, FL
NPI1750345898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  1466102)
Enumeration Date2006-04-14
Last Update Date2011-09-01
Business Address
-- MARY JOHNSON ARNP
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL 33896-9112
Phone number: 321-677-0531
Mailing Address
-- MARY JOHNSON ARNP
12 SOUTH BLVD E
DAVENPORT, FL 33837-7542
Phone number: 321-677-0531
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