Individual
ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
430 MORTON PLANT ST STE 301, CLEARWATER, FL 33756-3395
(727) 461-6026
(727) 461-1492
Mailing address
430 MORTON PLANT ST STE 301, CLEARWATER, FL 33756-3395
(727) 461-6026
(727) 461-1492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007279
GA
363A00000X
Physician Assistant
Primary
PA9109924
FL
Other
Enumeration date
08/13/2014
Last updated
04/23/2020
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