Individual
MR. COREY DEMONNE JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 OAKLEY SEAVER DR, CLERMONT, FL 34711-1961
(352) 988-6673
(352) 363-2496
Mailing address
1230 OAKLEY SEAVER DR, CLERMONT, FL 34711-1961
(352) 988-6673
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
01/25/2020
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