Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIE JOHNSON, GM
Active Sole ProprietorWILLIE JOHNSON, GM is a Customized Equipment (DME) healthcare provider located in AUBURNDALE, Florida. NPI 1801517651 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · AUBURNDALE, FL
Registration Details
- NPI Number
- 1801517651
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2022 (3.9398347342826 yrs)
- Last Updated
- Sep 9, 2022
- Licenses
-
207693 (FL)207683 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 JULIE LNAUBURNDALE, FL, 338232335Browse FL providers · Browse ZIP 33823
- Phone
- 8632698897
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
- Additional Specialty
- Customized Equipment (DME)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.