| Mitchell W Johnson, PA | |
|
3770 7th Ter, #101, Vero Beach, FL 32960-6553 | |
| (772) 567-6602 | |
| (772) 567-7754 |
| Full Name | Mitchell W Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 3770 7th Ter, Vero Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205809746 | NPI | - | NPPES |
| 970009579 | Other | FL | RAILROAD MEDICARE PROV# |
| Y02C0 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA 2767 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell W Johnson, PA 3770 7th Ter, #101, Vero Beach, FL 32960-6553 Ph: (772) 567-6602 | Mitchell W Johnson, PA 3770 7th Ter, #101, Vero Beach, FL 32960-6553 Ph: (772) 567-6602 |
Mr. Robert Matthew Tack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Mr. Craig Joseph Romero, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 772-563-4706 | |
Mr. Kevin John Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3730 7th Ter Ste 101, Vero Beach, FL 32960 Phone: 772-567-2332 Fax: 844-812-2806 | |
Jenny Ngan Nguyen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Kyle Anthony Franzone, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 36th St, Vero Beach, FL 32960 Phone: 772-567-4311 | |
Laura Leigh Walsh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1880 37th St, Suite 4, Vero Beach, FL 32960 Phone: 772-778-1400 Fax: 772-778-4626 | |
Kristen J Landt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 36th St, Emergency Department, Vero Beach, FL 32960 Phone: 772-567-4311 Fax: 904-346-0113 |