Individual
MRS. DEOWATTIE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7884
(813) 615-7542
Mailing address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7884
(813) 615-7542
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9193485
FL
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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