Individual
MR. JAMES EDWARD JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(502) 320-5108
Mailing address
3018 BARGATE ST, ORLANDO, FL 32824-4321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
CRT91714
FL
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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