Search › Florida › 363A00000X
Nicole Johnson, PA-C
NPI 1053952499 · on the registry since 2019
Practice
- Address
- 2200 Fowler Grove Blvd Ste 140
Winter Garden, FL 34787 - Phone
- (407) 614-0528
- Fax
- (407) 614-0529
- Organisation at this address
- Florida Hospital Medical Group Inc
Adventist Health System-Sunbelt Inc
Florida Radiology Imaging At Lake Mary LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Additional practice sites
- 7630 N Beach St Ste 140, Fort Worth, TX
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- TX, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida