Organization
CHARLES JOHNSON II MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JOHNSON II MD (OWNER / MEDICAL DOCTOR)
(954) 424-1873
Entity
Organization
Contact information
Practice address
4601 WASHINGTON ST, HOLLYWOOD, FL 33021-7647
(954) 424-1873
(954) 200-7814
Mailing address
4601 WASHINGTON ST, HOLLYWOOD, FL 33021-7647
(954) 424-1873
(954) 200-7814
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME61312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269541300
—
FL
Enumeration date
08/07/2008
Last updated
08/26/2015
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