# JOHNSON EXCELLENT SERVICES CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336292200
- **Authorized official:** MOYRA HERNANDEZ PENA (PRESIDENT)
- **Authorized official phone:** (954) 923-9996

## Contact information

- **Practice address:** 805 N FEDERAL HWY, HOLLYWOOD, FL 33020-3517
- **Practice address phone:** (954) 923-9996
- **Mailing address:** 805 N FEDERAL HWY, HOLLYWOOD, FL 33020-3517
- **Mailing address phone:** (954) 923-9996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020