Individual
CHARLOTTE MATTEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 E LAS OLAS BLVD, FT LAUDERDALE, FL 33301-2334
(754) 213-1031
Mailing address
4951 NW 18TH ST, LAUDERHILL, FL 33313-4117
(754) 213-1031
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Enumeration date
05/28/2024
Last updated
05/30/2024
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