Johnson, Matthew Kaleb

Johnson, Matthew Kaleb is an individual health care provider with primary practice located at 52 W Underwood St , Orlando FL 32806-1110. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Critical Care Medicine. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Johnson, Matthew Kaleb can be contacted via phone (321) 841-5111.

Contact Information

Primary practice address
52 W Underwood St Orlando FL 32806-1110
Phone: (321) 841-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Nursing Service Providers / Critical Care Medicine 163WC0200X 9415091 Florida

Profile Details

NPI number 1164122792
LBN Legal business name Johnson, Matthew Kaleb
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2023
Last updated Mar 2nd, 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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