Individual
MRS. POLLY ANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11470 88TH AVE, SEMINOLE, FL 33772-3602
(727) 953-0261
(727) 623-0676
Mailing address
11470 88TH AVE, SEMINOLE, FL 33772-3602
(727) 953-0261
(727) 623-0676
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
J525-661-528-0
FL
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
05/03/2019
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