Search › Florida › 332BC3200X
Willie Johnson, GM
NPI 1801517651 · on the registry since 2022 · sole proprietor
Practice
- Address
- 108 Julie Ln
Auburndale, FL 33823 - Phone
- (863) 269-8897
Registry record
- Primary taxonomy
- 332BC3200X
332BC3200X
- Also registered as
- 332BP3500X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-09
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