TJ Health & Wellness LLC

Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Branford, FL

NPI 1083457345 · NPPES record last updated Feb 17, 2026

Key facts

NPI
1083457345
Entity type
Organization (NPI type 2)
Primary specialty
Geriatric Medicine (Family Medicine) Physician 207QG0300X
Legal business name
TJ HEALTH & WELLNESS LLC
Practice address
208 Suwannee Ave NW
Branford, FL 32008-3265
Phone
(352) 421-5694
Fax
(352) 421-5226
NPI assigned
Jun 14, 2024
Organization subpart
No

Authorized official

Name
Mrs. Tanya Marie Johnson, APRN
Title
Owner
Phone
(352) 421-5694

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240722000082 FL Part B Supplier - Clinic/Group Practice 9032655568 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

Locations

400 SW 1st Ave
Unit 1179
Ocala, FL 34478
Phone (352) 421-5694

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207QG0300X Yes
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

208 Suwannee Ave NW
Branford, FL 32008-3265

Mailing address

400 SW 1St Ave Unit 1179
Ocala, FL 34478-7748
Phone (352) 421-5694

Other practice location 1

400 SW 1st Ave Unit 1179
Ocala, FL 34478-7748
Phone (352) 421-5694

Other providers in Branford, FL

All providers in Branford, FL · Geriatric Medicine (Family Medicine) Physician in Florida

Sources for this page

Verify at the official NPI Registry.