NPI 1003441379
Stacey Johnson
Practice location
- Address
- 1002 S Dillard St STE 106, Winter Garden, FL 34787-3991
- Phone
- (407) 877-0029
- Fax
- (407) 358-5207
- Mailing address
- 93 Hillside Dr, Eustis, FL 32726-7614
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1003441379
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Mar 2020
- Record last updated
- 6 Mar 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.