Individual
DR. RICHARD FREDERCIK JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BAY DR, LARGO, FL 33771-1013
(727) 586-0047
(727) 585-7867
Mailing address
1400 E BAY DR, LARGO, FL 33771-1013
(727) 586-0047
(727) 585-7867
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
ME25396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1708085
WORK COMP CERTIFICATION #
FL
Enumeration date
07/21/2005
Last updated
07/09/2007
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