| Larry D Johnson DC LLC | |
|
1510 Hancock Bridge Pkwy #6 Cape Coral FL 33990-1715 | |
| (239) 574-5559 | |
| (239) 574-9454 |
| Full Name | Larry D Johnson DC LLC |
|---|---|
| Speciality | Chiropractor |
| Location | 1510 Hancock Bridge Pkwy #6, Cape Coral, Florida |
| Authorized Official Name and Position | Larry Dean Johnson (MGR) |
| Authorized Official Contact | 2395745559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Johnson DC LLC 1510 Hancock Bridge Pkwy #6 Cape Coral FL 33990-1715 Ph: (239) 574-5559 | Larry D Johnson DC LLC 1510 Hancock Bridge Pkwy #6 Cape Coral FL 33990-1715 Ph: (239) 574-5559 |
| NPI Number | 1366771370 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 1355476110 |
|---|---|
| Medicare Enrollment ID | O20100318000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366771370 | NPI | - | NPPES |
| 381717200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 111N00000X | Chiropractor | () | Primary |
| 207P00000X | Emergency Medicine | () | Secondary |
| Provider Name | Aaron a Wohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174636724 PECOS PAC ID: 2466429204 Enrollment ID: I20040913000395 |
| Provider Name | Larry Dean Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669448155 PECOS PAC ID: 6305744632 Enrollment ID: I20051114000649 |
| Provider Name | Mairelis De La Cruz Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588295919 PECOS PAC ID: 6305268491 Enrollment ID: I20200618000903 |
Tropical Family Medicine Associates PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Del Prado Blvd S, Suite 102, Cape Coral, FL 33990 Phone: 239-573-4826 |
Multicare Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 Cape Coral Pkwy E, Cape Coral, FL 33904 Phone: 239-415-1900 Fax: 239-415-1905 |
Physicians Primary Care of Southwest Florida, Pl Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1304 Se 8th Ter, Cape Coral, FL 33990 Phone: 239-574-1988 Fax: 239-574-7765 |
Best Value Healthcare LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Se 16th Pl, Cape Coral, FL 33990 Phone: 239-673-6516 Fax: 239-673-6536 |
Laurel Oak Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Sw 47th Ter, Cape Coral, FL 33914 Phone: 239-945-1919 Fax: 239-945-2392 |
Fast Track Health LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 Se 10th Ter, Cape Coral, FL 33990 Phone: 239-322-2012 |