Individual
NINA F JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-1893
(321) 841-3794
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-1893
(321) 841-3794
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01046939
IN
2085R0001X
Radiation Oncology Physician
4301053554
MI
2085R0001X
Radiation Oncology Physician
Primary
ME171099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063407237
—
MI
Enumeration date
09/14/2005
Last updated
12/23/2024
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