Individual
DR. RICHARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 N DIXIE HWY STE 201, OAKLAND PARK, FL 33334-3454
(954) 563-9876
Mailing address
38 PORT SIDE DR, FORT LAUDERDALE, FL 33316-3008
(954) 649-7097
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME40905
FL
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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