Individual
BOLANLE ELENITOBA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 PINELLAS ST STE 220, CLEARWATER, FL 33756-3318
(727) 281-9390
Mailing address
1005 PINELLAS ST, CLEARWATER, FL 33756-3432
(727) 446-2111
(727) 447-2131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11009141
FL
Other
Enumeration date
11/20/2020
Last updated
08/26/2024
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