Individual
TODD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 30TH ST S, SAINT PETERSBURG, FL 33712-2949
(727) 214-2850
(727) 321-8239
Mailing address
2110 30TH ST S, SAINT PETERSBURG, FL 33712-2949
(727) 214-2850
(727) 321-8239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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