Individual
DR. ILYA SIMONE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9595 N KENDALL DR, SUITE 103, MIAMI, FL 33176-1979
(305) 279-8222
(305) 279-4096
Mailing address
9595 N KENDALL DR, SUITE 103, MIAMI, FL 33176-1979
(305) 279-8222
(305) 279-4096
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME79673
FL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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