Individual
QUINTELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 FOWLER GROVE BLVD STE 220, WINTER GARDEN, FL 34787-5597
(407) 656-0042
Mailing address
2200 FOWLER GROVE BLVD STE 220, WINTER GARDEN, FL 34787-5597
(407) 656-0042
(407) 565-0633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TRN40303
FL
Other
Enumeration date
07/26/2024
Last updated
09/09/2024
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