Individual
GORDON LESLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10101 W FOREST HILL BLVD, WELLINGTON REGIONAL MEDICAL CENTER PATHOLOGY DEPT, WELLINGTON, FL 33414
(561) 798-8559
(561) 798-8645
Mailing address
10101 W FOREST HILL BLVD, WELLINGTON REGIONAL MEDICAL CENTER PATHOLOGY DEPT, WELLINGTON, FL 33414
(561) 798-8559
(561) 798-8645
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0063120
FL
Other
Enumeration date
02/14/2006
Last updated
10/17/2007
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