Individual
MRS. SHARON DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
453 E OAKWOOD ST, TARPON SPRINGS, FL 34689-4447
(727) 608-0117
Mailing address
453 E OAKWOOD ST, TARPON SPRINGS, FL 34689-4447
(727) 608-0117
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
100128700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128700
—
FL
Enumeration date
02/01/2019
Last updated
02/01/2019
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