Individual
ELI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 E ROLLINS ST, ORANGE, FL 32803-1248
(614) 544-4691
(614) 544-1745
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-6413
(614) 544-1745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.017160
OH
207P00000X
Emergency Medicine Physician
Primary
OS20042
FL
Other
Enumeration date
03/27/2021
Last updated
10/30/2024
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