Individual
ANDY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 SW 109TH CT, MIAMI, FL 33173-2067
(305) 213-1476
Mailing address
6500 SW 109TH CT, MIAMI, FL 33173-2067
(305) 213-1476
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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