Individual
KYLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2500 SW 75TH AVE, MIAMI, FL 33155-2805
(305) 264-5252
Mailing address
3451 NE 1ST AVE APT M202, MIAMI, FL 33137-4052
(407) 701-3335
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PR513
FL
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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