Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walter Johnson III, PA

Individual provider Physician Assistant · NPI 1710075957

Walter Johnson III, PA is a Physician Assistant in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1222 S Orange Ave
Orlando, FL 32806-1215
Phone: (407) 650-1300
Fax: (407) 650-1307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9102469 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA 9102469 (FL)

Record details

NPI number1710075957
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESJuly 1, 2014

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