Individual
DR. LINDSEY ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME65770
FL
2080P0203X
Pediatric Critical Care Medicine Physician
ME65770
FL
2084A2900X
Neurocritical Care Physician
ME65770
FL
2084N0400X
Neurology Physician
ME65770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377807000
—
FL
01
—
ME65770
STATE MEDICAL LICENSE
FL
Enumeration date
09/26/2006
Last updated
03/25/2025
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