Individual
DIANA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1215 DUNN AVE, JACKSONVILLE, FL 32218-6330
(904) 757-1998
(904) 696-7462
Mailing address
1215 DUNN AVE, JACKSONVILLE, FL 32218-6330
(904) 757-1998
(904) 696-7462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87746
FL
Other
Enumeration date
05/02/2006
Last updated
05/12/2014
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