Individual
DR. GEORGE MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2104 MASSEY AVENUE, JACKSONVILLE, FL 32228
(904) 270-4265
Mailing address
7751 LISA DR E, JACKSONVILLE, FL 32217-4134
(615) 815-4834
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS19146
FL
Other
Enumeration date
04/23/2019
Last updated
03/27/2025
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