Individual
TIMMEKA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(727) 310-6946
Mailing address
4615 HORSESHOE PICK LN, VALRICO, FL 33594-9308
(727) 310-6946
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5249451
FL
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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