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Provider Information for 1124560826

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CHRISTOPHER JOHNSON NP

Gender: MALE

Individual NPI: 1124560826

Calendar   Last Updated:  2018-09-26
  Certification Date: 

Details

Name Value
NPI 1124560826
Enumeration Date 2016-11-11
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10730 N 56TH ST STE 209
TEMPLE TERRACE, FL 33617-3611
United States

Phone: 727-478-5660 | Fax: 727-234-8359
View Map External Link
Primary Practice Address 10730 N 56TH ST
TEMPLE TERRACE, FL 33617-3611
United States

Phone: 727-478-5660 | Fax: 727-234-8359
View Map External Link
Secondary Practice Address 218 PASADENA AVE S
ST PETERSBURG, FL 33707-1251
United States

Phone: 727-345-0160 | Fax: 727-345-0100
View Map External Link

1908 E 131ST AVE
TAMPA, FL 33612-4690
United States

Phone: 813-977-7878 | Fax: 813-977-3226
View Map External Link

11722 N 17TH ST
TAMPA, FL 33612-5434
United States

Phone: 813-971-8072 | Fax: 813-971-4539
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RG0300X - Internal Medicine Geriatric Medicine FL ARNP9287156