Individual
MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W MARTIAN LUTHER KING BLVD., TAMPA MEDICAL TOWER, STE. 300, TAMPA, FL 33607
(800) 394-4445
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS5629
FL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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