Individual
JULIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
161 N CAUSEWAY STE A, NEW SMYRNA BEACH, FL 32169-5328
(386) 424-1584
(386) 410-4800
Mailing address
161 N CAUSEWAY STE A, NEW SMYRNA BEACH, FL 32169-5328
(386) 424-1584
(386) 410-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009295100
—
FL
Enumeration date
07/01/2013
Last updated
09/25/2024
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