Individual
DR. CHARLES ROBERT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1601 CLINT MOORE RD, 155, BOCA RATON, FL 33487-2768
(561) 338-0700
(561) 362-9960
Mailing address
1601 CLINT MOORE RD, SUITE NUMBER 155, BOCA RATON, FL 33487-2768
(561) 338-0700
(561) 362-9960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS0004672
FL
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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