Individual
CHRISTIAN HENRIK JOHANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6117 GUNN HWY, TAMPA, FL 33625-4013
(813) 978-9700
(813) 558-6185
Mailing address
5901 E FOWLER AVE, TEMPLE TERRACE, FL 33617-2304
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114697
FL
363AS0400X
Surgical Physician Assistant
—
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9114697
PHYSICIAN ASSISTANT
FL
Enumeration date
07/18/2014
Last updated
07/22/2025
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