# MILLIONAIRE FRESH INC

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

## Provider details

- **NPI number:** 1417365859
- **Authorized official:** MR. RODERICK JOHNSON (CEO)
- **Authorized official phone:** (323) 220-8672

## Contact information

- **Practice address:** 98 VANDERFORD RD E, ORANGE PARK, FL 32073-5919
- **Practice address phone:** (904) 589-0351
- **Mailing address:** 15515 S VERMONT AVE, 5, GARDENA, CA 90247-4156
- **Mailing address phone:** (323) 220-8672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | CA | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 07/29/2014