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Shatavier Johnson

NPI 1871462135 · on the registry since 2025

Practice

Address
6817 Southpoint Pkwy Ste 1201
Ste 1201
Jacksonville, FL 32216
Phone
(336) 512-4746
Organisation at this address
Ezmedequip
Pasame Llc
Felix R Toro
Mount Gilead
Batwoman Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
124

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
104100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-04

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