| Johnsons Family Medicine Llc | |
|
2605 Thomas Dr Ste 120 Panama City Beach FL 32408-6254 | |
| (850) 215-7095 | |
| (850) 215-7096 |
| Full Name | Johnsons Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2605 Thomas Dr Ste 120, Panama City Beach, Florida |
| Authorized Official Name and Position | Stephen Johnson (OWNER) |
| Authorized Official Contact | 8502157095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnsons Family Medicine Llc 2605 Thomas Dr Ste 120 Panama City Beach FL 32408-6254 Ph: (850) 215-7095 | Johnsons Family Medicine Llc 2605 Thomas Dr Ste 120 Panama City Beach FL 32408-6254 Ph: (850) 215-7095 |
| NPI Number | 1528772480 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 3072987684 |
|---|---|
| Medicare Enrollment ID | O20230322002407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528772480 | NPI | - | NPPES |
| APRN9307095 | Other | FL | APRN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Stephen W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679924716 PECOS PAC ID: 6800176447 Enrollment ID: I20161216001709 |
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