Kathryn Johnson is a Clinic/Center based in Orlando, FL. Kathryn Johnson practices in Mount Dora, FL. The NPI Number for Kathryn Johnson is 1114005667 and holds a License No. (Florida).
The current practice location address for Kathryn Johnson is 4400 N Highway 19A, Mount Dora, FL and can be reached out via phone at 352-988-4181.
Location: 4400 N Highway 19A, Mount Dora, FL, 32809-4289
Provider Profile Details
NPI Number
1114005667
Provider Name
Kathryn Johnson
Credential
Provider Entity Type
Organization
Address
4400 N Highway 19A, Mount Dora, FL, 32809-4289
Phone Number
352-988-4181
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW 6550 | 01 | FL | SOCIAL WORK LICENSE |
Provider Business Practice Location Address Details
Address
4400 N Highway 19A
City
State
Zip
32757-2032
Phone Number
352-988-4181
Fax Number
Provider Business Mailing Address Details
Address
4400 N Highway 19A
City
State
Zip
32757-2032
Phone Number
352-988-4181
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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