Individual
DR. KIM MARIE BARBEL-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS7781
FL
207RH0003X
Hematology & Oncology Physician
Primary
OS7781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000958614A
—
GA
05
—
2609797-00
—
FL
Enumeration date
03/21/2006
Last updated
01/03/2023
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