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Mitchell Johnson
NPI 1982343612 · on the registry since 2022
Practice
- Address
- 816 A1a N Ste 307
Ponte Vedra, FL 32082 - Phone
- (904) 543-4021
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-25
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