Organization
OCEANS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEYNE JOHNSON MD (OWNER)
(407) 413-8883
Entity
Organization
Contact information
Practice address
1685 LEE RD STE 100, WINTER PARK, FL 32789-2214
(407) 413-8883
(407) 413-8892
Mailing address
1404 N RONALD REAGAN BLVD UNIT 1120, LONGWOOD, FL 32750-3410
(407) 413-8883
(407) 413-8892
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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