Individual
ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-1711
(561) 548-1743
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-1711
(561) 548-1743
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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