Organization
DR.R. JOHNSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN MICHELLE JOHNSON PSY.D (MANAGING MEMBER)
(904) 505-7861
Entity
Organization
Contact information
Practice address
7855 ARGYLE FOREST BLVD, SUITE 906, JACKSONVILLE, FL 32244-5596
(904) 505-7861
(904) 291-6525
Mailing address
7855 ARGYLE FOREST BLVD, SUITE 906, JACKSONVILLE, FL 32244-5596
(904) 505-7861
(904) 291-6525
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY7686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780856575
MEDICARE PROVIDER NUMBER
FL
Enumeration date
08/19/2011
Last updated
08/19/2011
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