IndividualActive
Randy Johnson
NPI 1508035189 · Durable Medical Equipment & Medical Supplies · Dundee, FL
Provider details
- NPI number
- 1508035189
- Entity type
- Individual
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1312770 (FL)
Specialties & taxonomies
Suppliers
Practice location
117 E Main St
Dundee, FL 33838-4219
Phone: (863) 223-2007
Fax: (863) 223-1879
Approximate (ZIP-level) locationGet directions
Mailing address
117 E Main St
Dundee, FL 33838-4219
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2008-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.