Organization · Type 2 NPI

Mathew S Johnson MD PLLC

Specialist · Shalimar, FL

NPI number 1558055186 Active

Practice location

2578 Cayenne Ln
Shalimar, FL 32579-1268

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

About NPI 1558055186

Mathew S Johnson MD PLLC's National Provider Identifier is 1558055186, issued on Jun 6, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Shalimar, FL. The record was last updated on Jan 31, 2025.