Individual
JOHN WESLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8509 BENJAMIN RD STE D, TAMPA, FL 33634-1224
(813) 872-8521
Mailing address
8509 BENJAMIN RD STE D, TAMPA, FL 33634-1224
(813) 872-8521
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Enumeration date
03/05/2013
Last updated
03/06/2013
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