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Provider Information for 1194767335

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

JOHN ARMSTRONG DO

Gender: MALE

Individual NPI: 1194767335

Calendar   Last Updated:  2020-05-13
  Certification Date:  2020-05-13

Details

Name Value
NPI 1194767335
Enumeration Date 2006-06-12
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 20065
TAMPA, FL 33622-0065
United States

Phone: 813-890-8004 | Fax: 813-290-9691
View Map External Link
Primary Practice Address 2810 W SAINT ISABEL ST STE 201
TAMPA, FL 33607-6375
United States

Phone: 813-890-8004 | Fax: 813-290-9691
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 014101800
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL OS11533
No 207R00000X - Internal Medicine NJ MB58247