DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDWARD ALAN JOHNSON, PAC

Active

MR. EDWARD ALAN JOHNSON, PAC is a Family Medicine healthcare provider located in ST AUGUSTINE, Florida. NPI 1760595961 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ST AUGUSTINE, FL

Registration Details

NPI Number
1760595961
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2006 (19.816362147172 yrs)
Last Updated
Jul 8, 2007
License
PA3355 (FL)

Practice Information

Address
1099 A1A BEACH BLVD
ST AUGUSTINE, FL, 32080
Browse FL providers · Browse ZIP 32080
Phone
9044719104
Fax
9044613386
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ST AUGUSTINE, FL

Name Credential NPI
DR. MARY ELIZABETH RAY D.O. 1306846795
MICHAEL CLORE SANDERS MD 1003817040
DR. MELCHOR G BARROS MD 1013900893
KENNETH R HITZ MD 1326022195
DR. JULIE DEAUN GRAVES MD 1093794265
BRIAN D RAYMAKER MD 1184696221
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.