# JOHNNY THE CHAIRMAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295324903
- **Authorized official:** AMY JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (727) 386-4123

## Contact information

- **Practice address:** 2075 E BAY DR, LARGO, FL 33771-2320
- **Practice address phone:** (727) 386-4123
- **Practice address fax:** (727) 245-6155
- **Mailing address:** 2075 E BAY DR, LARGO, FL 33771-2320
- **Mailing address phone:** (727) 386-4123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2021
- **Last updated:** 05/24/2022