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MS. MARY SUE JOHNSON ARNP-C
NPI 1063420883
Family Medicine in Lady Lake, FL

Active since August 04, 2006
1560 SANTA BARBARA BLVD, LADY LAKE, FL 32159(352) 750-5000(352) 750-5004 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Mary Sue Johnson Arnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY SUE JOHNSON ARNP-C (NPI 1063420883) is an individual family medicine provider in Lady Lake, Florida, licensed in Florida (ARNP-3346602) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1063420883
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. MARY SUE JOHNSONCredential: ARNP-C
Location Address1560 SANTA BARBARA BLVDLady Lake, FL 32159
Mailing Address1560 Santa Barbara BlvdLady Lake, FL 32159 · (352) 750-5000 · Fax (352) 750-5004
Phone(352) 750-5000
Fax(352) 750-5004
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063420883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ARNP-3346602
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1560 SANTA BARBARA BLVD, Lady Lake, FL 32159
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA HEART & VASCULAR MULTI SPECIALTY GROUP, PA
Internal Medicine (Cardiovascular Disease)
1560 SANTA BARBARA BLVD
LADY LAKE, FL 32159
Lake County (352) 750-5000

Frequently Asked Questions

What is Mary Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1063420883, enumerated as an "individual" on August 04, 2006.

Where is the provider located?

The provider is located at 1560 SANTA BARBARA BLVD LADY LAKE, FL 32159 and the phone number is (352) 750-5000.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.