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Organization

COCONUT GROVE MEDICAL CORPORATION

Active
Other names
Michael E. Johnson, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL EUGENE JOHNSON MD (MD/OWNER)
(305) 856-5170
Entity
Organization

Contact information

Practice address
2250 S DIXIE HWY, SUITE 1, MIAMI, FL 33133-2360
(305) 856-5170
(305) 856-9063
Mailing address
2250 S DIXIE HWY, SUITE 1, MIAMI, FL 33133-2360
(305) 856-5170
(305) 856-9063

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME56901
FL

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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