Organization · Type 2 NPI

Kathryn Johnson

Clinic/Center · Mount Dora, FL

NPI number 1114005667 Active

Practice location

4400 N Highway 19A, Suite 4
Mount Dora, FL 32757-2032

Call (352) 988-4181 Map

Mailing address

5655 S Orange Ave
Orlando, FL 32809-4289

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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).

4 other providers at this address

Other clinic/center providers in Mount Dora

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About NPI 1114005667

Kathryn Johnson's National Provider Identifier is 1114005667, issued on Nov 1, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mount Dora, FL. The record was last updated on Aug 22, 2020.