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Samuel Johnson

NPI 1245730787 · on the registry since 2018 · sole proprietor

Practice

Address
17688 71st Ln N
Loxahatchee, FL 33470
Phone
(954) 696-4135
Fax
(954) 272-7968
Organisation at this address
Loving Arms Outreach Community Center Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-20

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