Organization
JOHNNY THE CHAIRMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JOHNSON (VICE PRESIDENT)
(727) 386-4123
Entity
Organization
Contact information
Practice address
2075 E BAY DR, LARGO, FL 33771-2320
(727) 386-4123
(727) 245-6155
Mailing address
2075 E BAY DR, LARGO, FL 33771-2320
(727) 386-4123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/16/2021
Last updated
05/24/2022
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