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NPI Code Detail

MEDICARE: MS. LUANA A JOHNSON PA-C

MEDICARE: MS. LUANA A JOHNSON PA-C
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
1363AM0700XMedical Physician AssistantMA050662PA
2363A00000XPhysician AssistantPA9112240FL

General Provider Information

NPI Number : 1639381700
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUANA A JOHNSON PA-C
Provider Business Mailing Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-609-0095
Fax Number : 407-609-0096
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1273
Country : US
Telephone Number : 407-609-0095
Fax Number : 407-609-0096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 01/19/2026

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