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VERSAN JOHNSON M.D.

Interventional Pain Medicine >> Pain Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447549985

Individual Registrant:
 VERSAN  JOHNSON M.D.
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

Contact information for business:
1740 W TAYLOR ST  CHICAGO, IL 60612-7232 US
Tel: (31-2) -996-4021  Fax: --

Registration Information:
NPI: 1447549985
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208VP0014XAllopathic & Osteopathic Physicians
Pain Medicine
Interventional Pain Medicine
FLME130663

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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