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Ms. Victoria Mae Johnson
Developmental Disabilities Clinic/Center in North Miami Beach, Florida
NPI 1528690658

Victoria Mae Johnson is a Developmental Disabilities Clinic/Center based in North Miami Beach, FL and is specialized in Developmental Disabilities. Victoria Mae Johnson practices in North Miami Beach, FL. The NPI Number for Victoria Mae Johnson is 1528690658 and holds a License No. (Florida).

The current practice location address for Victoria Mae Johnson is 400 Ne 177Th St, North Miami Beach, FL and can be reached out via phone at 786-423-7033. You can also correspond with Victoria Mae Johnson through the mailing address at 400 NE 177TH ST, NORTH MIAMI BEACH, FL - 33162-1914 (mailing address contact number: 786-423-7033).

Location: 400 Ne 177Th St, North Miami Beach, FL, 33162-1914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528690658
Provider Name
Victoria Mae Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Ne 177Th St, North Miami Beach, FL, 33162-1914
Phone Number
786-423-7033
Fax Number
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7636 05 FL
institution
Provider Business Practice Location Address Details
Address
400 Ne 177Th St
City
North Miami Beach
State
Florida
Zip
33162-1914
Phone Number
786-423-7033
Fax Number
person
Provider Business Mailing Address Details
Address
400 Ne 177Th St
City
North Miami Beach
State
Florida
Zip
33162-1914
Phone Number
786-423-7033
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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