Individual
PATRICIA K JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
846 LAKE HOWELL RD, MAITLAND, FL 32751-5222
(407) 571-5017
(407) 767-1213
Mailing address
846 LAKE HOWELL RD, MAITLAND, FL 32751-5222
(407) 571-5017
(407) 767-1213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME58647
FL
Other
Enumeration date
01/13/2006
Last updated
07/08/2007
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