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Lavarous Antwon Johnson, PHYSICIANASSISTANT
Medical Physician Assistant in Tampa, Florida
NPI 1073273660

Lavarous Antwon Johnson is a Medical Physician Assistant based in Tampa, FL and is specialized in Medical. Lavarous Antwon Johnson practices in Tampa, FL and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Lavarous Antwon Johnson is 1073273660 and holds a License No. (Florida).

The current practice location address for Lavarous Antwon Johnson is 401 W Kennedy Blvd, Tampa, FL and can be reached out via phone at 757-528-7563.

Location: 401 W Kennedy Blvd, Tampa, FL, 33612-3415
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Provider Profile Details
NPI Number
1073273660
Provider Name
Lavarous Antwon Johnson
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
401 W Kennedy Blvd, Tampa, FL, 33612-3415
Phone Number
757-528-7563
Fax Number
Provider Enumeration Date
12/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 W Kennedy Blvd
City
State
Zip
33606-1450
Phone Number
757-528-7563
Fax Number
person
Provider Business Mailing Address Details
Address
401 W Kennedy Blvd
City
State
Zip
33606-1450
Phone Number
757-528-7563
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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