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Individual

CHARLES JOHNSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M D

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
ME 61312
FL

Other

Enumeration date
05/28/2007
Last updated
08/25/2015
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