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

Dr. Marvin Wade Johnson Sr., MD

Individual provider Family Medicine Physician · NPI 1346244092

Dr. Marvin Wade Johnson Sr., MD is a Family Medicine Physician in Lake Butler, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

850 E Main St Lot 1
Lake Butler, FL 32054-1348
Phone: (386) 496-2406
Fax: (386) 496-3362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0011466 (FL)

Record details

NPI number1346244092
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2005
Last updated in NPPESJune 30, 2010

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