Individual
LATANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 BEAU LN, ORLANDO, FL 32808-3215
(689) 305-8335
Mailing address
5923 OLD WINTER GARDEN RD STE 107, ORLANDO, FL 32835-1461
(689) 305-8335
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
FL
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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