MRS. Melody Marie Johnson, PA-C

NPI #1427271907 in Longwood, Florida

Provider Information

NPI Number: 1427271907
Entity Type: Individual
Name: MRS. Melody Marie Johnson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 357 WEKIVA SPRINGS RD
City: Longwood
State: Florida
ZIP Code: 32779-3607
Phone: (407) 862-1163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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