Individual
BRANDON LAMAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
3261 US 441, SUITE B2, FRUITLAND PARK, FL 34731
(689) 290-6060
(407) 386-6700
Mailing address
5252 HARTWOOD LOOP, WILDWOOD, FL 34785-7926
(689) 290-6060
(407) 386-6700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5265165
FL
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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