MEDICARE: JOHNSON CHIROPRACTIC INC

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

General Provider Information

NPI Number	:	1861751844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON CHIROPRACTIC INC

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	:	PRESIDENT
Name	:	DR. JEANNIE JOHNSON
Credential	:	D.C.
Telephone Number	:	407-716-6553

Provider Enumeration Date	:	05/10/2012
Last Update Date	:	02/12/2026

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Directions to “JOHNSON CHIROPRACTIC INC ” Practice Location

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