Individual
MR. JOHN JEFFERSON JOHNSON V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-2516
(305) 308-2000
Mailing address
22340 BELLE TERRA DR, ASHBURN, VA 20148
(571) 258-7409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5808
FL
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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