Johnson, Willie

Johnson, Willie is an sole proprietor health care provider with primary practice located at 108 Julie Ln , Auburndale FL 33823-2335. He recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Customized Equipment. Suppliers / Customized Equipment is his primary health care specialty. Johnson, Willie can be contacted via phone (863) 269-8897.

Contact Information

Primary practice address
108 Julie Ln Auburndale FL 33823-2335
Phone: (863) 269-8897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 207693 Florida
Suppliers / Customized Equipment 332BC3200X 207683 Florida

Profile Details

NPI number 1801517651
LBN Legal business name Johnson, Willie
Credentials GM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2022
Last updated Sep 9th, 2022 - about 3 years ago

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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