IndividualActive
George Johnson, DO
NPI 1043874225 · Sports Medicine (Family Medicine) Physician · Jacksonville, FL
Provider details
- NPI number
- 1043874225
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OS19146 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2104 Massey Avenue
Jacksonville, FL 32228
Phone: (904) 270-4265
Approximate (ZIP-level) locationGet directions
Mailing address
7751 Lisa Dr E
Jacksonville, FL 32217-4134
Registry dates
- Enumerated
- 2019-04-23
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.