Provider Demographics
NPI:1609003748
Name:JOHNSON, ERIKA LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:LEIGH
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12250 TAMIAMI TRL E
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8108
Mailing Address - Country:US
Mailing Address - Phone:239-595-9939
Mailing Address - Fax:239-228-7514
Practice Address - Street 1:12250 TAMIAMI TRL E
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8108
Practice Address - Country:US
Practice Address - Phone:239-595-9939
Practice Address - Fax:239-228-7514
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME124467207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIH732ZMedicare PIN