SearchFlorida207Q00000X

Kevin Johnson, M.D

NPI 1326280991 · on the registry since 2009 · sole proprietor

Practice

Address
1400 Hancock Blvd
#1208
Daytona Beach, FL 32114
Phone
(386) 252-2524

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida