MEDICARE: EXQUISITERX HEALTH

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1134087711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXQUISITERX HEALTH

Provider Business Mailing Address
First Line	:	3275 S JOHN YOUNG PKWY # 599
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6556
Country	:	US
Telephone Number	:	321-246-2797
Fax Number	:	321-246-2797

Provider Business Practice Location Address
First Line	:	7362 FUTURES DRIVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819
Country	:	US
Telephone Number	:	321-246-2797
Fax Number	:	321-246-2797

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TYKEMA JOHNSON
Credential	:	APRN
Telephone Number	:	321-246-2797

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1366856676 — DR. CARIANE MORALES MATOS M.D.
Practice Location Address:

9400 TURKEY LAKE RD
ORLANDO, FL
32819-8001

Practice Phone: 321-842-8505
Practice Fax: 321-843-5550

1245199033 — THAYNEE FILS AIME
Practice Location Address:

9400 TURKEY LAKE RD
ORLANDO, FL
32819-8001

Practice Phone: 321-842-6008
Practice Fax:

1467303859 — RAIDY PENA FERNANDEZ
Practice Location Address:

9400 TURKEY LAKE RD
ORLANDO, FL
32819-8001

Practice Phone: 407-351-8500
Practice Fax:

1548893746 — MI OPTOMETRA INC
Practice Location Address:

8101 S JOHN YOUNG PKWY
ORLANDO, FL
32819-9021

Practice Phone: 321-251-3582
Practice Fax: 407-377-7645

1336825561 — MR. EUGENIO L TORRES-AYALA
Practice Location Address:

8101 S JOHN YOUNG PKWY
ORLANDO, FL
32819-9021

Practice Phone: 407-583-9372
Practice Fax: 407-377-7645

1194041236 — DR. CARLA IRIS CABALLERO-RAMOS OD
Practice Location Address:

8101 S JOHN YOUNG PKWY STE DRC
ORLANDO, FL
32819-9021

Practice Phone: 321-251-3582
Practice Fax: 407-377-7645

1336989169 — PREMISE HEALTH OF FLORIDA MEDICAL PA
Practice Location Address:

5881 TURKEY LAKE RD
ORLANDO, FL
32819-7747

Practice Phone: 812-216-7728
Practice Fax:

Directions to “EXQUISITERX HEALTH ” 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.