| Judith Johnson, MD | |
|
7225 N University Dr, Ste 104, Tamarac, FL 33321-2908 | |
| (954) 341-9771 | |
| (954) 341-9772 |
| Full Name | Judith Johnson |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 7225 N University Dr, Tamarac, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639155633 | NPI | - | NPPES |
| 044637800 | Medicaid | FL | |
| 61544 | Other | BLUE CROSS BLUE SHIELD | |
| 0072480 | Other | FL | GHI |
| 0163191 | Other | FL | GHI |
| 208508 | Other | FL | AVMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME43407 (Florida) | Primary |
| Entity Name | Australian Grayling Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033517172 PECOS PAC ID: 6608191432 Enrollment ID: O20150218002356 |
| Entity Name | Australian Prowfish Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487052528 PECOS PAC ID: 7911222765 Enrollment ID: O20150219000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Johnson, MD 7225 N University Dr, Suite 104, Tamarac, FL 33321-2908 Ph: (954) 341-9771 | Judith Johnson, MD 7225 N University Dr, Ste 104, Tamarac, FL 33321-2908 Ph: (954) 341-9771 |
Dr. Vladimir Bogomilov Donchev, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7421 N University Dr Ste 107, Tamarac, FL 33321 Phone: 954-726-0095 | |
Dr. Ernesto V Torres, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 N University Dr Ste 201, Tamarac, FL 33321 Phone: 954-770-0000 Fax: 786-250-1970 | |
Dr. Jose Angel Martin, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 7421 N University Dr Ste 305, Tamarac, FL 33321 Phone: 954-233-0913 Fax: 954-391-5011 | |
Dr. Charan Y Donkor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7421 N University Dr Ste 103, Tamarac, FL 33321 Phone: 954-726-0095 Fax: 954-838-8807 |