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Individual

ANDY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8702 HUNTERS LAKE DR STE 100, TAMPA, FL 33647-2855
(813) 467-4700
Mailing address
8702 HUNTERS LAKE DR STE 100, TAMPA, FL 33647-2855

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9121218
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/06/2025
Last updated
03/02/2026
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