DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL ANDREW JOHNSON, PA-C

Active

MICHAEL ANDREW JOHNSON, PA-C is a Physician Assistant healthcare provider located in FORT WALTON BEACH, Florida. NPI 1174517627 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT WALTON BEACH, FL

Registration Details

NPI Number
1174517627
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2005 (20.906514532353 yrs)
Last Updated
May 19, 2009
Licenses
PA10004773 (WA)
PA9104179 (FL)

Practice Information

Address
1005 MAR WALT DR
INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL, 325476707
Browse FL providers · Browse ZIP 32547
Phone
8508638202
Fax
8508626148
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FORT WALTON BEACH, FL

Name Credential NPI
MR. SCOT T WILLIAMS PA 1942205190
HAROLD TIMOTHY JOHNSON PA-C 1336124098
GERARDO CRUZ PA-C 1275518086
MAX REID DAWKINS PA-C 1629053442
ALICIA R. MORNEAULT PA-C 1962471987
CHARLES JOSEPH CLANCY PA-C 1669410924
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.