Individual
ELEANOR ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME172690
FL
208600000X
Surgery Physician
R77256
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127261200
—
FL
01
—
RIG6E
BCBS
FL
Enumeration date
04/01/2019
Last updated
12/07/2025
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