Individual
JOE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 ROOSEVELT BLVD, CLEARWATER, FL 33760-1952
(727) 327-7656
(727) 322-2110
Mailing address
PO BOX 10970, SAINT PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 322-2110
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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