Healthcare Provider Details

I. General information

NPI: 1598751091
Provider Name (Legal Business Name): BARRON JOHNSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S ANDREWS AVE BROWARD GENERAL PEDS ED
FT LAUDERDALE FL
33316-2510
US

IV. Provider business mailing address

1000 NW 130TH TER
SUNRISE FL
33323-3907
US

V. Phone/Fax

Practice location:
  • Phone: 954-355-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME55893
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberME55893
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: