Sudine Johnson
Sudine Johnson is an Exclusive Provider Organization in Winter Garden, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
Practice location Address checks out
1230 W Pointe Villas Blvd Bldg Apt 203Winter Garden, FL 34787-6099
Phone: (321) 663-8247
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 322032 (FL) |
|---|
Record details
| NPI number | 1659726750 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sudine Johnson — Cna · (321) 663-8247 |
| NPI enumerated | April 27, 2016 |
| Last updated in NPPES | April 27, 2016 |
| Mailing address | 1230 W Pointe Villas Blvd Bldg Apt 203, Winter Garden, FL 34787-6099 |