# DR. JOHNNIE BYRD II

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710208491
- **Gender:** Man
- **Credential:** M.D., PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD495035 | PA | — |
| 207Q00000X | Family Medicine Physician | ME117292 | FL | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 04/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016698800 | — | FL |
| 01 | — | KW560 | MEDICARE | FL |