Individual
THOMAS R. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 S HIGHWAY 77 STE 100, LYNN HAVEN, FL 32444-5612
(850) 804-7500
(850) 804-7501
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME102430
FL
Other
Enumeration date
02/01/2006
Last updated
07/23/2021
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