Individual
ELIZABETH RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11760 SW 40TH ST STE 352, MIAMI, FL 33175-3595
(786) 428-1059
(786) 428-1062
Mailing address
11760 SW 40TH ST STE 352, MIAMI, FL 33175-3595
(786) 428-1059
(786) 428-1062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT205068
PA
2086S0129X
Vascular Surgery Physician
Primary
ME142033
FL
Other
Enumeration date
07/24/2013
Last updated
12/06/2021
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