WILLIE JOHNSON GM NPI 1801517651

NPI Information

NPI: 1801517651
Provider Name: WILLIE JOHNSON, GM
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
108 JULIE LN
AUBURNDALE, FL
ZIP 33823
Phone: (863) 269-8897
Get Directions

Willie Johnson, GM is a customized equipment durable medical equipment medical supplies in Auburndale, FL. Willie Johnson, GM NPI is 1801517651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

108 JULIE LN
AUBURNDALE, FL
ZIP 33823-335
Phone: (863) 269-8897

The enumeration date for this NPI number is 9/9/2022 and was last updated on 9/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	207693	FLORIDA	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	207683	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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