Individual
DR. SAMANTHA JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2156 W NINE MILE RD, PENSACOLA, FL 32534-9464
(850) 416-2433
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME138885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22641
FLORIDA STATE MEDICAL LICENSE
FL
Enumeration date
05/17/2016
Last updated
12/12/2022
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