Individual
HAZEL H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1105 E KENNEDY BLVD, SUITE 311, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-2999
Mailing address
1105 E KENNEDY BLVD, SUITE 311, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-2999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1653192
FL
363LF0000X
Family Nurse Practitioner
ARNP1653192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034718300
—
FL
Enumeration date
06/07/2006
Last updated
08/18/2010
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