Healthcare Provider Details

I. General information

NPI: 1073418265
Provider Name (Legal Business Name): NARAYANA JOHNSON RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

15409 NW 136TH TER
ALACHUA FL
32615-6581
US

V. Phone/Fax

Practice location:
  • Phone: 352-538-5308
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License NumberRT15112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: