Individual
ANGELICA MONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Mailing address
1356 E HAINES ST, PHILADELPHIA, PA 19138-1910
(618) 534-2054
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME140022
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2016
Last updated
05/28/2019
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