| Doctor Name: | MS. GRACE P. JOHNSON |
| NPI Number: | 1568703601 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, RD, LD |
| License Number: | ND 3260 |
| Business Practice Address: | 19590 Old Cutler Rd Cutler Bay, FL - 331578048 |
| Business Phone Number: | 7864663500 |
| Business Fax Number: | 7864663889 |
| Mailing Address: | 764 Nw 154th Ave, PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330281863 |
| Phone Number: | 9544430222 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2013 |
| NPI Last Update Date: | 03/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | ND 3260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |