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VERSAN JOHNSON M.D.
Interventional Pain Medicine >> Pain Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1447549985
Individual Registrant: VERSAN JOHNSON M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
761 STIRLING CENTER PL LAKE MARY, FL 32746-5700 US
Tel: 407-732-7682 Fax: 407-915-6843
Tel: 407-732-7682 Fax: 407-915-6843
Contact information for business:
1740 W TAYLOR ST CHICAGO, IL 60612-7232 US
Tel: (31-2) -996-4021 Fax: --
Tel: (31-2) -996-4021 Fax: --
Registration Information:
NPI: 1447549985
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208VP0014X | Allopathic & Osteopathic Physicians Pain Medicine Interventional Pain Medicine | FL | ME130663 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
