Individual provider · Type 1 NPI

Corey Demonne Johnson Jr.

Student in an Organized Health Care Education/Training Program · Clermont, FL

NPI number 1790233583 Active

Practice location

1230 Oakley Seaver Dr
Clermont, FL 34711-1961

Call (352) 988-6673 Map

Fax (352) 363-2496

Other practice locations

  • 2519 Sea Breeze Ct, Orlando, FL 32805-5872 · (407) 235-2875

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

Other student in an organized health care education/training program providers in Clermont

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About NPI 1790233583

Corey Demonne Johnson Jr.'s National Provider Identifier is 1790233583, issued on Sep 21, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clermont, FL. The record was last updated on Jan 25, 2020.