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Kenneth Ian Johnson, MD
Family Medicine Physician in Port St Lucie, Florida
NPI 1457349508

Kenneth Ian Johnson is a Family Medicine Physician based in Spring Hill, FL. Kenneth Ian Johnson practices in Port St Lucie, FL and has the professional credentials of MD. The NPI Number for Kenneth Ian Johnson is 1457349508 and holds a License No. ME73635 (Florida).

The current practice location address for Kenneth Ian Johnson is 1700 Se Hillmoor Dr Ste 501, Port St Lucie, FL and can be reached out via phone at 772-212-7049 and via fax at 772-212-7059.

Location: 1700 Se Hillmoor Dr Ste 501, Port St Lucie, FL, 34609-8102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457349508
Provider Name
Kenneth Ian Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1700 Se Hillmoor Dr Ste 501, Port St Lucie, FL, 34609-8102
Phone Number
772-212-7049
Fax Number
772-212-7059
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80193338 01 FL RAILROAD
ME73635 01 FL VHN
578869751 01 FL TRICARE
BCBS 01 FL 35407
ME73635 01 FL DCWO
ME73635 01 FL UNITED BENEFITS
258874900 05 FL
institution
Provider Business Practice Location Address Details
Address
1700 Se Hillmoor Dr Ste 501
City
Port St Lucie
State
Florida
Zip
34952
Phone Number
772-212-7049
Fax Number
772-212-7059
person
Provider Business Mailing Address Details
Address
1700 Se Hillmoor Dr Ste 501
City
Port St Lucie
State
Florida
Zip
34952
Phone Number
772-212-7049
Fax Number
772-212-7059
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME73635 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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