Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnson Riverside Family Practice LLC

Organization Family Medicine Physician · NPI 1295409423

Johnson Riverside Family Practice LLC is a Family Medicine Physician in Moore Haven, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

43 Avenue J
Moore Haven, FL 33471
Phone: (863) 599-1620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1295409423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Johnson — Aprn · (863) 946-0284
NPI enumeratedAugust 2, 2021
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address43 Avenue J Sw, Moore Haven, FL 33471-2116

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