SearchFlorida376J00000X

Willie Johnson

NPI 1407441819 · on the registry since 2021 · sole proprietor

Practice

Address
6835 Tinkerbell Ln
Jacksonville, FL 32210
Phone
(904) 625-1811

Registry record

Primary taxonomy
376J00000X
376J00000X
Sex
Male
Record last updated
2021-03-08

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