Individual
ROXANNE J JOHNSON-GIEBINK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1033 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-0416
(321) 631-6962
Mailing address
1033 FLORIDA AVE S, ROCKLEDGE, FL 32955-2138
(321) 632-0416
(321) 631-6962
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0038373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0038373
LICENSE
FL
Enumeration date
05/10/2006
Last updated
07/08/2007
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