Mathew S Johnson MD Pllc

NPI #1558055186 in Shalimar, Florida

Provider Information

NPI Number: 1558055186
Entity Type: Organization
Organization Name: Mathew S Johnson MD Pllc
Primary Specialty: Specialist
Enumeration Date: Jun 6, 2023
Last Updated: Jan 31, 2025

Practice Location

Address: 2578 CAYENNE LN
City: Shalimar
State: Florida
ZIP Code: 32579-1268
Phone: (520) 409-8320

Authorized Official

Name: MATTHEW JOHNSON, MD
Title: OWNER/PROVIDER
Phone: (702) 719-9059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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