Individual
DR. THOMAS BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-3292
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3292
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME78286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258865000
—
FL
Enumeration date
06/01/2006
Last updated
06/15/2022
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