Individual
DR. MARSHALL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-8500
Mailing address
240 S CRYSTAL DR, SANFORD, FL 32773-4816
(407) 968-6958
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22218
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
03/17/2023
Last updated
07/04/2025
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