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Search › Florida › 152W00000X

Karl Johannessen, OD

NPI 1306863105 · on the registry since 2006 · sole proprietor

Practice

Address
6300 N Wickham Rd
Unit 123
Melbourne, FL 32940
Phone
(321) 751-7270
Fax
(321) 751-7769
Organisation at this address
Cdpg, P.L.
D Badolato Pa
Imperium Health
Top Tier Sports Medicine Llc
Lordoni Discount Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida