Individual
JOHNATHAN B JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 W DR MLK BLVD, 3RD FLOOR MAB, TAMPA, FL 33607-6307
(727) 322-4830
(813) 870-0100
Mailing address
1300 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33323-2826
(727) 322-4830
(813) 870-0100
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
77755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270521400
—
FL
Enumeration date
05/31/2006
Last updated
06/04/2014
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