Search › Florida › 156FX1800X
Gary Johanson, LDO
NPI 1871286153 · on the registry since 2023
Practice
- Address
- 1460 Cornerstone Blvd
Daytona Beach, FL 32117 - Phone
- (386) 760-3330
- Fax
- (386) 274-2051
- Organisation at this address
- Sams East Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-01
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