Organization
JRJ PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE R JOHNSON DPM (OWNER/PRESIDENT)
(954) 731-0028
Entity
Organization
Contact information
Practice address
4000 N STATE ROAD 7, STE 412, LAUDERDALE LAKES, FL 33319-4882
(954) 731-0028
(954) 731-0288
Mailing address
4000 N STATE ROAD 7, STE 412, LAUDERDALE LAKES, FL 33319-4882
(954) 731-0028
(954) 731-0288
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390400801
—
FL
Enumeration date
06/27/2005
Last updated
12/29/2008
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