Individual
DR. JOHNATHAN CHARLES CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8415 BAYSHORE BLVD, BLDG 711, TAMPA, FL 33621-1607
(813) 827-9001
(813) 828-7415
Mailing address
3906 BUTTONWOOD CT, BRANDON, FL 33511-7962
(813) 689-3459
(813) 828-7415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M4003
TX
207P00000X
Emergency Medicine Physician
ME88463
FL
Other
Enumeration date
01/27/2006
Last updated
04/07/2023
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