Individual
JAMES H JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
2112 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2906
(863) 688-0540
(863) 683-9805
Mailing address
1010 LAKESHORE DR, AUBURNDALE, FL 33823-9738
(863) 965-1746
(863) 683-9805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0008984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064925200
—
FL
Enumeration date
11/07/2006
Last updated
08/25/2010
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