Brandon Lamar Johnson, NURSE is a
Home Health based in Fruitland Park, Florida. Brandon Lamar Johnson is licensed to practice in Florida (license number ) and his current practice location is
3261 Us 441, Suite B2, Fruitland Park, Florida. He can be reached at his office (for appointments etc.) via phone at
(689) 290-6060.
NPI number for Brandon Lamar Johnson is 1154294486 and his current mailing address is 5252 Hartwood Loop, Wildwood, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154294486.
Provider's Profile
| Full Name | Brandon Lamar Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Home Health |
|---|
| Location | 3261 Us 441, Fruitland Park, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154294486
- Provider Enumeration Date: 09/24/2025
- Last Update Date: 09/24/2025
Medical Identifiers
Medical identifiers for Brandon Lamar Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154294486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | PN5265165 (Florida) | Secondary |
| 251E00000X | Home Health | (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Lamar Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brandon Lamar Johnson, NURSE 5252 Hartwood Loop, Wildwood, FL 34785-7926 Ph: (689) 290-6060 | Brandon Lamar Johnson, NURSE 3261 Us 441, Suite B2, Fruitland Park, FL 34731 Ph: (689) 290-6060 |
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