Individual
DR. WALTER JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(352) 273-6438
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME173999
FL
207L00000X
Anesthesiology Physician
U9004
TX
208VP0000X
Pain Medicine Physician
ME173999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127003400
—
FL
Enumeration date
03/31/2020
Last updated
07/17/2025
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