Individual
RACHEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S ORANGE BLOSSOM TRL, 229, ORLANDO, FL 32805-3118
(386) 690-3504
Mailing address
750 S ORANGE BLOSSOM TRL, 229, ORLANDO, FL 32805-3118
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010616500
—
FL
Enumeration date
07/19/2015
Last updated
07/19/2015
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