Individual
JOHNSON P MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2371
Mailing address
601 OAK COMMONS BLVD, KISSIMMEE, FL 34741-4213
(407) 846-0626
(407) 846-2371
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0042668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068537200
—
FL
Enumeration date
07/29/2005
Last updated
04/14/2023
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