MEDICARE: JEANNIE MARIE JOHNSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH9873	FL

General Provider Information

NPI Number	:	1508170689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNIE MARIE JOHNSON DC

Provider Business Mailing Address
First Line	:	465 MAITLAND AVE STE 6
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5444
Country	:	US
Telephone Number	:	407-716-6553
Fax Number	:

Provider Business Practice Location Address
First Line	:	465 MAITLAND AVE STE 6
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5444
Country	:	US
Telephone Number	:	407-716-6553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2010
Last Update Date	:	04/09/2026

Similar Medicare Providers

1245966266 — KRISTIN L AMBROSE
Practice Location Address:

465 MAITLAND AVE
ALTAMONTE SPRINGS, FL
32701-5444

Practice Phone: 877-915-5745
Practice Fax:

1194280131 — OLIVIA MADEWELL LMHC
Practice Location Address:

465 MAITLAND AVE # 16
ALTAMONTE SPRINGS, FL
32701-5444

Practice Phone: 321-616-7225
Practice Fax:

1366470155 — DR. JENNIFER HALLIE VAUGHN D.C.
Practice Location Address:

475 MAITLAND AVE
ALTAMONTE SPRINGS, FL
32701-5444

Practice Phone: 321-444-6750
Practice Fax: 321-444-6755

1396862678 — GEORGE DEL VILLAR M.D.
Practice Location Address:

475 MAITLAND AVE
ALTAMONTE SPRINGS, FL
32701-5444

Practice Phone: 407-647-2009
Practice Fax: 407-660-2009

1861751844 — JOHNSON CHIROPRACTIC INC
Practice Location Address:

465 MAITLAND AVE STE 6
ALTAMONTE SPRINGS, FL
32701-5444

Practice Phone: 407-716-6553
Practice Fax:

1306260914 — DR. DANA OKEEFE D.C.
Practice Location Address:

475 MAITLAND AVE
ALTAMONTE SPRINGS, FL
32701-5444

Practice Phone: 321-444-6750
Practice Fax: 321-444-6755

Directions to “ JEANNIE MARIE JOHNSON DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.