EDWARD ALAN JOHNSON

ST AUGUSTINE, FL
NPI1760595961
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  PA3355)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
Mr. EDWARD ALAN JOHNSON PAC
1099 A1A BEACH BLVD
ST AUGUSTINE, FL 32080
Phone number: 904-471-9104
Mailing Address
Mr. EDWARD ALAN JOHNSON PAC
10 13TH STREET
ST AUGUSTINE, FL 32080
Phone number: 904-540-7740
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