Individual
VERSAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
761 STIRLING CENTER PL, LAKE MARY, FL 32746-5700
(407) 732-7682
(407) 915-6843
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4021
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME130663
FL
Other
Enumeration date
04/05/2011
Last updated
07/21/2022
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