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Search › Florida › 111N00000X

Dominque Johnson

NPI 1750013199 · on the registry since 2022 · sole proprietor

Practice

Address
5233 Ricker Rd Ste 102
Jacksonville, FL 32210
Phone
(904) 320-0706
Organisation at this address
Jax'S Family Care And Research Center, P.A.
Jax'S Family Care And Research Center, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-24

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