Individual
DR. BRYAN ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN35466
FL
2085R0001X
Radiation Oncology Physician
Primary
ME165189
FL
Other
Enumeration date
03/25/2022
Last updated
12/11/2023
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