Matthew Shannon Johnson, D.O. Valid NPI

Individual provider · Family Medicine Physician · Port Charlotte, FL

NPI

1659711455

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

OS15650 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2013-06-26

Last updated

2023-12-28