Organization Name: | JERRI L. JOHNSON, M.D., P.A. |
NPI Number: | 1588856231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY KEENEY (OFFICE MANAGER) |
Mailing Address: | 411 Maitland Ave Suite 1001 Altamonte Springs |
State: | FL US |
Postal Code: | 327015448 |
Phone Number: | 4072602606 |
Fax Number: | 4072606339 |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 08/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0049721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |