Individual provider · Type 1 NPI

Walter Johnson Iii, PA

Medical Physician Assistant · Orlando, FL

NPI number 1710075957 Active

Practice location

1222 S Orange Ave
Orlando, FL 32806-1215

Fax (407) 650-1307

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA 9102469 (FL)
Medical Physician Assistant Primary 363AM0700XPA9102469 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1710075957

Walter Johnson Iii, PA's National Provider Identifier is 1710075957, issued on Oct 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Jul 1, 2014.