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Shantae Renee Johnson
Driver in Poinciana, Florida
NPI 1497304646

Shantae Renee Johnson is a Driver based in Poinciana, FL. Shantae Renee Johnson practices in Poinciana, FL. The NPI Number for Shantae Renee Johnson is 1497304646 and holds a License No. 221013 (Florida).

The current practice location address for Shantae Renee Johnson is 560 Big Sioux Ct, Poinciana, FL and can be reached out via phone at 863-205-7815 and via fax at 863-496-7722.

Location: 560 Big Sioux Ct, Poinciana, FL, 34759-5927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497304646
Provider Name
Shantae Renee Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
560 Big Sioux Ct, Poinciana, FL, 34759-5927
Phone Number
863-205-7815
Fax Number
863-496-7722
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
560 Big Sioux Ct
City
Poinciana
State
Florida
Zip
34759-5927
Phone Number
863-205-7815
Fax Number
863-496-7722
person
Provider Business Mailing Address Details
Address
560 Big Sioux Ct
City
Poinciana
State
Florida
Zip
34759-5927
Phone Number
863-205-7815
Fax Number
863-496-7722
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
221013 (Florida)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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