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Individual

JOHNETTA GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 545-8414
Mailing address
1835 HARBOUR BLUE ST, RUSKIN, FL 33570-8017
(813) 545-8414
(813) 545-8414

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9430203
FL

Other

Enumeration date
05/22/2026
Last updated
05/22/2026
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