| Dr Laura Lynn Johnson, MD | |
|
840 37th Pl, Ste 1n, Vero Beach, FL 32960-6502 | |
| (772) 978-9000 | |
| (772) 978-9922 |
| Full Name | Dr Laura Lynn Johnson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 840 37th Pl, Vero Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588729891 | NPI | - | NPPES |
| 256588900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME78173 (Florida) | Secondary |
| 208000000X | Pediatrics | ME78173 (Florida) | Primary |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laura Lynn Johnson, MD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4127 | Dr Laura Lynn Johnson, MD 840 37th Pl, Ste 1n, Vero Beach, FL 32960-6502 Ph: (772) 978-9000 |
William David Caldwell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1545 9th St Sw, Vero Beach, FL 32962 Phone: 772-257-8224 Fax: 772-213-3157 | |
Dr. Hemant P Gundavda, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1545 9th St Sw, Vero Beach, FL 32962 Phone: 772-257-8224 Fax: 772-213-3157 | |
Lacey Vatland, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1155 35th Ln Ste 201a, Vero Beach, FL 32960 Phone: 772-562-5662 | |
Mrs. Jessica Lauren Delia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1155 35th Ln Ste 201a, Vero Beach, FL 32960 Phone: 772-562-5661 Fax: 772-562-5702 | |
Johanna Marisol Dejesus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 981 37th Pl, Vero Beach, FL 32960 Phone: 772-257-5785 Fax: 772-257-5325 | |
Carmen E Rosado, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 981 37th Pl, Vero Beach, FL 32960 Phone: 772-257-5785 Fax: 772-257-5325 | |
Lori Ann Bowers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 981 37th Pl, Vero Beach, FL 32960 Phone: 772-257-5785 Fax: 772-257-5325 |