Gary R Johnson in Winter Haven - Cardiovascular Disease

Gary R Johnson - NPI 1740240837

Gary R Johnson is a Cardiovascular Disease in Winter Haven, Florida. Gary R Johnson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Gary R Johnson is 1740240837. The last update date is 2012-01-10.

Gary R Johnson's current location address is Po Box 2797, Winter Haven, Florida. You can contact this provider via phone number 8635080202 and fax number 8632934994. The mailing address for Gary R Johnson is Po Box 2797, Winter Haven, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary R Johnson
Address Po Box 2797, Winter Haven, Florida
Phone Number 8635080202
Fax Number 8632934994
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1740240837
Provider Enumeration Date 2006-03-24
Last Updated Date 2012-01-10

Provider Mailing Address Detail

Address Po Box 2797
City Winter Haven
State Florida (FL)
Post Code 33883
Phone Number 8635080202
Fax Number 8632934994

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No ME36696
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60063442 FL RAILROAD MEDICARE
53792 FL BCBS
42162600 FL --

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FAQs about Gary R Johnson

What is the unique provider identifier assigned to Gary R Johnson?

The Gary R Johnson has been issued the NPI (National Provider Identifier) 1740240837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Gary R Johnson is physically located?

The Gary R Johnson is physically situated at the following address: Po Box 2797, Winter Haven, FL, 33883.

What is Gary R Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary R Johnson is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

On what date did the Gary R Johnson receive the assignment of its 1740240837 from the Centers for Medicare & Medicaid Services?

The Gary R Johnson was issued its 1740240837 by the Centers for Medicare & Medicaid Services on 2006-03-24.

When was the information pertaining to Gary R Johnson most recently updated or revised?

The details related to Gary R Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-10.

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