Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith B Johnson, MD

Individual provider Pediatrics Physician · NPI 1184695710

Dr. Keith B Johnson, MD is an Internal Medicine in Venice, Florida. Qualified in 1985, 41 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
41
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1370 E Venice Ave Ste 202
Venice, FL 34285-9082
Phone: (941) 480-0500
Fax: (941) 480-9322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME58404 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME58404 (FL)

Record details

NPI number1184695710
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 31, 2006
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations14 on file with Medicare

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