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Individual
DR. KEITH B JOHNSON
Active
Individual
DR. KEITH B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME58404
FL
208000000X
Pediatrics Physician
ME58404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203445431
TAX ID
FL
05
—
372134500
—
FL
Enumeration date
01/31/2006
Last updated
02/06/2024
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