Individual
TIMOTHY HAROLD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9209 SEMINOLE BLVD UNIT 209, SEMINOLE, FL 33772-3142
(412) 992-1658
Mailing address
9209 SEMINOLE BLVD UNIT 209, SEMINOLE, FL 33772-3142
(412) 992-1658
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN9407681
FL
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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