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Dr. Crystal Johnson, MD
Student in an Organized Health Care Education/Training Program in Winter Park, Florida
NPI 1245612183

Crystal Johnson is a Student in an Organized Health Care Education/Training Program based in Winter Park, FL. Crystal Johnson practices in Winter Park, FL and has the professional credentials of MD. The NPI Number for Crystal Johnson is 1245612183 and holds a License No. TRN21344 (Florida).

The current practice location address for Crystal Johnson is 133 Benmore Dr Ste 201, Winter Park, FL and can be reached out via phone at 407-646-7757.

Location: 133 Benmore Dr Ste 201, Winter Park, FL, 32792-3417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245612183
Provider Name
Crystal Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
133 Benmore Dr Ste 201, Winter Park, FL, 32792-3417
Phone Number
407-646-7757
Fax Number
Provider Enumeration Date
06/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
133 Benmore Dr Ste 201
City
Winter Park
State
Florida
Zip
32792-4111
Phone Number
407-646-7757
Fax Number
person
Provider Business Mailing Address Details
Address
133 Benmore Dr Ste 201
City
Winter Park
State
Florida
Zip
32792-4111
Phone Number
407-646-7757
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TRN21344 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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