Individual
JONATHAN EDWARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1633 PHYSICIANS DR, TALLAHASSEE, FL 32308-4620
(850) 431-3276
Mailing address
1633 PHYSICIANS DR, TALLAHASSEE, FL 32308-4620
(850) 431-3276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9112112
FL
Other
Enumeration date
04/02/2019
Last updated
08/19/2022
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