# GENNETT JOHNSON, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669527727
- **Authorized official:** DR. GENNETT JOHNSON MD (PHYSICIAN)
- **Authorized official phone:** (407) 616-0239

## Contact information

- **Practice address:** 9068 GREAT HERON CIR, ORLANDO, FL 32836-5483
- **Practice address phone:** (407) 616-0239
- **Practice address fax:** (407) 876-2869
- **Mailing address:** PO BOX 22948, ORLANDO, FL 32830-2948
- **Mailing address phone:** (407) 616-0239
- **Mailing address fax:** (407) 876-2869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME 47316 | FL | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 10/21/2016