Theodore Johnson, MD - Pensacola, FL

Theodore Johnson, MD

Military Health Care Provider in Pensacola, Florida

NPI 1609523240

Theodore Johnson is a Military Health Care Provider based in Pensacola, FL. Theodore Johnson practices in Pensacola, FL and has the professional credentials of MD. The NPI Number for Theodore Johnson is 1609523240 and holds a License No. 0101279593 (Florida).

The current practice location address for Theodore Johnson is 220 Hovey Rd, Pensacola, FL and can be reached out via phone at 703-395-8196.

Location: 220 Hovey Rd, Pensacola, FL, 32508-1044

NPI Number

1609523240

Provider Name

Theodore Johnson

Credential

Provider Entity Type

Individual

Gender

Male

Address

220 Hovey Rd, Pensacola, FL, 32508-1044

Phone Number

703-395-8196

Fax Number

Provider Enumeration Date

03/03/2022

Last Update Date

03/10/2024

Address

220 Hovey Rd

City

Pensacola

State

Florida

Zip

32508-1044

Phone Number

703-395-8196

Fax Number

Address

220 Hovey Rd

City

Pensacola

State

Florida

Zip

32508-1044

Phone Number

703-395-8196

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

0101279593 (Virginia)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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