Johnson, Audrey Boller

Johnson, Audrey Boller is an sole proprietor health care provider with primary practice located at 1718 Brookside Blvd , Tallahassee FL 32301-6770. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Community Health Worker, Other Service Providers / Health Educator, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Johnson, Audrey Boller can be contacted via phone (954) 294-5973.

Contact Information

Primary practice address
1718 Brookside Blvd Tallahassee FL 32301-6770
Phone: (954) 294-5973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Health Educator 174H00000X
Pharmacy Service Providers / Pharmacist 183500000X PS25698 Florida

Profile Details

NPI number 1902261662
LBN Legal business name Johnson, Audrey Boller
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2015
Last updated Jul 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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