Male or Other

Dr. Craig M. Johnson DO

Pediatric Radiology Physician in Orlando, FL(View on Map)

Full Name

Dr. Craig M Johnson DO

NPI Number

1992910301

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/11/2007

Specialties

(Taxonomies)

Code

2085P0229X
2085R0204X

Primary Taxonomy

Yes
No

Licenses

State

Delaware
Florida
Massachusetts
Wisconsin

License Number

C20010119
OS11789
235491
53505

Contact
Information

Purpose

Mailing
Location

Address

P.O. BOX 191
6535 NEMOURS PARKWAY

City

Rockland
Orlando

State

DE
FL

Postal Code

19732-0191
33282-7884

Country

US
US

Telephone Number

(302) 298-7371
(407) 567-4000

Identifiers

Identifier

006252800

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/17/2020

Provider Address

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