person
Willie Johnson, GM
Customized Equipment (DME) in Auburndale, Florida
NPI 1801517651

Willie Johnson is a Customized Equipment (DME) based in Lake Wales, FL and is specialized in Customized Equipment. Willie Johnson practices in Auburndale, FL and has the professional credentials of GM. The NPI Number for Willie Johnson is 1801517651 and holds a License No. 207693 (Florida).

The current practice location address for Willie Johnson is 108 Julie Ln, Auburndale, FL and can be reached out via phone at 863-269-8897. You can also correspond with Willie Johnson through the mailing address at 23781 HWY 27 # 226, LAKE WALES, FL - 33859-7802 (mailing address contact number: 863-269-8897).

Location: 108 Julie Ln, Auburndale, FL, 33859-7802
person
Provider Profile Details
NPI Number
1801517651
Provider Name
Willie Johnson
Credential
GM
Provider Entity Type
Individual
Gender
Male
Address
108 Julie Ln, Auburndale, FL, 33859-7802
Phone Number
863-269-8897
Fax Number
Provider Enumeration Date
09/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 Julie Ln
City
State
Zip
33823-2335
Phone Number
863-269-8897
Fax Number
person
Provider Business Mailing Address Details
Address
108 Julie Ln
City
State
Zip
33823-2335
Phone Number
863-269-8897
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
207683 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
207693 (Florida)
Definition
Definition to come...
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