Dr JESSE WAYNE JOHNSON JR. is a male medical professional, specializing in Internal Medicine. He graduated in 1984 from University Of Florida College Of Medicine.
HEATHROW INTERNAL MEDICINE LLC
4106 W LAKE MARY BLVD
SUITE 100
LAKE MARY
FL
327463344
Tel: 4073332273
| Npi | 1245344571 |
| Pac Id | 5597757161 |
| Professional Enrollment Id | I20080910000530 |
| Last Name | JOHNSON |
| First Name | JESSE |
| Middle Name | WAYNE |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | HEATHROW INTERNAL MEDICINE LLC |
| Group Practice Pac Id | 5294801536 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 4106 W LAKE MARY BLVD |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | LAKE MARY |
| State | FL |
| Zip Code | 327463344 |
| Phone Number | 4073332273 |
| Hospital Affiliation Ccn 1 | 100161 |
| Hospital Affiliation Lbn 1 | CENTRAL FLORIDA REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 100045 |
| Hospital Affiliation Lbn 2 | FLORIDA HOSPITAL DELAND |
| Hospital Affiliation Ccn 3 | 100007 |
| Hospital Affiliation Lbn 3 | FLORIDA HOSPITAL |
| Hospital Affiliation Ccn 4 | 060006 |
| Hospital Affiliation Lbn 4 | MONTROSE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | 100006 |
| Hospital Affiliation Lbn 5 | ORLANDO HEALTH |
| Professional Accepts Medicare Assignment | Y |
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