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Contact Information

JOHNNY BERNARD JR MD LLC
6029 OLD KINGS ROAD
PALM COAST, FL32137
 Phone: 901-301-1942
 Fax: 386-283-5170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JOHNNY BERNARD JR MD LLC

NPI Number 1861167694
LBN Legal business name JOHNNY BERNARD JR MD LLC
Authorized official JOHNNY BERNARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2021
Last updated 04/28/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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