Individual
ALAN GERALD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 CONCOURSE PKWY S STE 200, MAITLAND, FL 32751-6145
(855) 479-4217
(888) 557-9724
Mailing address
PO BOX 8209, VIENNA, VA 22183-2058
(251) 901-3011
(251) 901-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD463371
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2015
Last updated
04/07/2026
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