Individual
PHYLLIS MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 NW 7TH AVE, MIAMI, FL 33127-1403
(305) 345-4008
(305) 938-5063
Mailing address
5601 NW 7TH AVE, MIAMI, FL 33127-1403
(305) 345-4008
(305) 938-5063
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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