KENNETH IAN JOHNSON

PORT ST LUCIE, FL
NPI1457349508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME73635)
Enumeration Date2005-10-12
Last Update Date2018-06-28
Business Address
KENNETH IAN JOHNSON MD
1700 SE HILLMOOR DR STE 501
PORT ST LUCIE, FL 34952
Phone number: 772-212-7049
Mailing Address
KENNETH IAN JOHNSON MD
14690 SPRING HILL DR STE 305
SPRING HILL, FL 34609-8102
Phone number: 352-277-5348
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