Dr. Jeffery Alan Johnson
Pediatrician Pediatric Nephrologist
92 W Miller St 8th Floor
Orlando
, Florida 32806-2032
Dr. Jeffery Alan Johnson
Pediatrician Pediatric Nephrologist
92 W Miller St 8th Floor
Orlando
, Florida 32806-2032
(321) 841-7978
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Jeffery Alan Johnson
- 92 W Miller St 8th Floor
- Orlando, FL
- Zip : 32806-2032
- Fax : (321) 841-7978
- Phone : (321) 841-7970
Second Address
- Dr. Jeffery Alan Johnson
- 92 W Miller St 8th Floor
- Orlando, FL
- Zip : 32806-2032
- Fax : (321) 841-7978
- Phone : (321) 841-7970
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | A81750 | CA |
| Y | 2080P0210X | Pediatric Nephrologist | ME119884 | FL |
National Provider Identifier
| NPI | 1134181647 |
|---|---|
| Provider Name | Dr. Jeffery Alan Johnson |
| First Address | Orlando, FL 32806-2032 |
| Second Address | Orlando, FL 32806-2032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2006 |
| Last Update Date | 15/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A81750 | BLUE SHIELD (01) | |
| 011160500 | (05) | FL |
| ME119884 | MEDICAL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.