De'la Johnson, NURSE PRACTITIONER | |
Po Box 1268, New Smyrna Beach, FL 32170-1268 | |
(386) 259-8803 | |
(386) 213-9981 |
Full Name | De'la Johnson |
---|---|
Gender | Female |
Speciality | Pain Medicine - Pain Medicine |
Location | Po Box 1268, New Smyrna Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356122634 | NPI | - | NPPES |
APRN1029119 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | APRN11029119 (Florida) | Primary |
207Q00000X | Family Medicine | APRN11029119 (Florida) | Secondary |
Entity Name | Aaron J West Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568687069 PECOS PAC ID: 1153361340 Enrollment ID: O20050506000409 |
Entity Name | Whatever It Takes Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477232171 PECOS PAC ID: 9739535741 Enrollment ID: O20231027000917 |
Mailing Address | Practice Location Address |
---|---|
De'la Johnson, NURSE PRACTITIONER Po Box 1268, New Smyrna Beach, FL 32170-1268 Ph: (386) 259-8803 | De'la Johnson, NURSE PRACTITIONER Po Box 1268, New Smyrna Beach, FL 32170-1268 Ph: (386) 259-8803 |
Mr. Muhammad Emdadul Haque, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 Palmetto Street, New Smyrna Beach, FL 32168 Phone: 386-427-4752 Fax: 386-426-8855 | |
Ilze Hicks, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: Po Box 1268, New Smyrna Beach, FL 32170 Phone: 386-259-8803 Fax: 386-213-9981 |