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WILLIE JOHNSON GM
NPI 1801517651
Durable Medical Equipment & Medical Supplies - Customized Equipment in Auburndale, FL

Active since September 09, 2022
108 JULIE LN, AUBURNDALE, FL 33823(863) 269-8897 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willie Johnson Gm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE JOHNSON GM (NPI 1801517651) is an individual customized equipment provider in Auburndale, Florida, licensed in Florida (207683) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1801517651
Entity TypeIndividualMale
Primary Taxonomy332BC3200X
Provider Legal NameWILLIE JOHNSONCredential: GM
Location Address108 JULIE LNAuburndale, FL 33823-2335
Mailing Address23781 Hwy 27 # 226Lake Wales, FL 33859-7802 · (863) 269-8897
Phone(863) 269-8897
Sole ProprietorYes
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1801517651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in FL · 207683
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 207693 (FL)
108 JULIE LN, Auburndale, FL 33823
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Johnson's NPI number?

The NPI number for Willie Johnson is 1801517651. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Willie Johnson located?

Willie Johnson practices at 108 Julie Ln, Auburndale, FL 33823. The listed phone number is (863) 269-8897.

What is Willie Johnson's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Willie Johnson was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.