Tyeshia Johnson
NPI #1528608171 in Windermere, Florida
Provider Information
- NPI Number
- 1528608171
- Entity Type
- Individual
- Name
- Tyeshia Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 12, 2020
- Last Updated
- Nov 13, 2022
Practice Location
- Address
- 5845 WINTER GARDEN VINELAND RD
- City
- Windermere
- State
- Florida
- ZIP Code
- 34786-6124
- Phone
- (407) 203-1682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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