Individual
LEONARD PAUL JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4122 MADISON ST UNIT 262, ELFERS, FL 34680-9711
(813) 310-5679
(727) 264-6235
Mailing address
PO BOX 262, ELFERS, FL 34680-0262
(813) 310-5679
(727) 264-6235
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291797100
—
FL
01
—
P00150341
RAILROAD MEDICARE
FL
Enumeration date
04/11/2006
Last updated
07/21/2022
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