Individual
TAI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
13224 W BROWARD BLVD, PLANTATION, FL 33325-2228
(954) 400-5504
(954) 400-5503
Mailing address
13224 W BROWARD BLVD, PLANTATION, FL 33325-2228
(954) 400-5504
(954) 400-5503
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3529
FL
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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