Organization
IAN TODD JOHNSON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN TODD JOHNSON MD (PRINCIPAL)
(561) 495-0087
Entity
Organization
Contact information
Practice address
4848 COCONUT CREEK PKWY, 200, COCONUT CREEK, FL 33063-3904
(954) 764-6116
(954) 764-6119
Mailing address
1447 MEDICAL PARK BLVD STE 101, WELLINGTON, FL 33414-3164
(561) 844-0120
(561) 800-1074
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME108492
FL
Other
Enumeration date
11/29/2011
Last updated
02/22/2012
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