Individual
DANIEL DOUGLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7365
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101267490
VA
207X00000X
Orthopaedic Surgery Physician
Primary
ME172948
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
03/28/2018
Last updated
07/29/2025
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