| Kathryn Johnson | |
|
4400 N Highway 19a Suite 4 Mount Dora FL 32757-2032 | |
| (352) 988-4181 | |
| Not Available |
| Full Name | Kathryn Johnson |
|---|---|
| Speciality | Clinic/center |
| Location | 4400 N Highway 19a, Mount Dora, Florida |
| Authorized Official Name and Position | Kathryn Johnson (PSYCHOSOCIAL CLINICIAN II) |
| Authorized Official Contact | 3529884181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Johnson 5655 S Orange Ave Orlando FL 32809-4289 Ph: (407) 895-4100 | Kathryn Johnson 4400 N Highway 19a Suite 4 Mount Dora FL 32757-2032 Ph: (352) 988-4181 |
| NPI Number | 1114005667 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114005667 | NPI | - | NPPES |
| SW 6550 | Other | FL | SOCIAL WORK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Adventhealth Centra Care - Mount Dora Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19015 U.s. Highway 441, Mount Dora, FL 32757 Phone: 352-383-3484 Fax: 352-735-0517 | |
Jerry M Alstott Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8030 Saint James Way, Mount Dora, FL 32757 Phone: 407-908-0064 Fax: 352-383-9319 | |
Mount Dora Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18540 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-7743 Fax: 352-383-9226 | |
Breakthrough Transitions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St Ste 500, Mount Dora, FL 32757 Phone: 321-362-4176 Fax: 321-256-5176 | |
Daybreak Pediatric Housecalls, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Northside Dr, Mount Dora, FL 32757 Phone: 352-359-2757 Fax: 866-215-0354 | |
Chinyere Center For Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 E 19th Ave, Mount Dora, FL 32757 Phone: 352-735-3396 |