Individual
DAVID M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-4368
(904) 249-0335
(904) 249-0347
Mailing address
900 BEACH BLVD, JACKSONVILLE BEACH, FL 32250-4368
(904) 249-0335
(904) 249-0347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2543737-00
—
FL
Enumeration date
02/02/2006
Last updated
11/17/2010
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