Organization
JOHNNY BERNARD JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY R BERNARD JR. MD (OWNER)
(901) 301-1942
Entity
Organization
Contact information
Practice address
6029 OLD KINGS RD, PALM COAST, FL 32137-5181
(386) 229-5910
(386) 229-5914
Mailing address
PO BOX 1809, FLAGLER BEACH, FL 32136-1809
(407) 788-1906
(321) 280-2479
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
06/05/2026
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