Individual ProviderJohnson DoPharmacistPharmacy Service ProvidersPractice Address4000 N Goldenrod Rd, Winter Park, FL 32792-8999(407) 681-3191PECOS EnrollmentBased on the most recent information from CMS, provider Johnson Do does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1811234446Provider TypeIndividualFull NameDo, JohnsonCredentialPHARM DGenderMaleSole ProprietorYesEnumeration Date1/16/2013Last Updated1/16/2013Contact InformationPractice LocationPractice Address4000 N Goldenrod Rd, Winter Park, FL 32792-8999Phone(407) 681-3191Fax(407) 681-3194Mailing LocationMailing Address4000 N Goldenrod Rd, Winter Park, FL 32792-8999Phone(407) 681-3191Fax(407) 681-3194Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePS0034272Florida