Individual provider · Type 1 NPI

Makala Quinn Johnson, PA-C

Surgical Physician Assistant · Orlando, FL

NPI number 1336864156 Active

Practice location

22 W Underwood St
Orlando, FL 32806-1110

Call (321) 841-5111 Map

Mailing address

22 Underwood St
Orlando, FL 32806-1110

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9116392 (FL)
Physician Assistant 363A00000X9116392 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9116392 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1336864156

Makala Quinn Johnson, PA-C's National Provider Identifier is 1336864156, issued on Oct 4, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Mar 2, 2026.