Search › Florida › 207Q00000X
Edward Johnson, PAC
NPI 1760595961 · on the registry since 2006
Practice
- Address
- 1099 A1a Beach Blvd
St Augustine, FL 32080 - Phone
- (904) 471-9104
- Fax
- (904) 461-3386
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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