Whalio Doctors

NPI 1598208944

Timothy M Johnson

Practitioner Home Modifications Contractor Miramar, FL

Practice location

Address
2637 Pine Tree Dr, Miramar, FL 33023
Phone
(845) 694-7353
Mailing address
2637 Pine Tree Dr, Miramar, FL 33023-4508

Registered specialties (2)

Home Modifications Contractor Primary
Other Service Providers Taxonomy 171WH0202X
Driver
Other Service Providers Taxonomy 172A00000X

Registry record

NPI
1598208944
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Dec 2016
Record last updated
27 Jul 2018

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.