person
Dr. Johnson Otong, MD
General Practice Physician in St Petersburg, Florida
NPI 1477970713

Johnson Otong is a General Practice Physician based in St Petersburg, FL. Johnson Otong practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Johnson Otong is 1477970713 and holds a License No. ACN1650 (Florida).

The current practice location address for Johnson Otong is 6703 38 Avenue North, St Petersburg, FL and can be reached out via phone at 727-213-5377 and via fax at 727-828-9639.

Location: 6703 38 Avenue North, St Petersburg, FL, 33710-1536
person
Provider Profile Details
NPI Number
1477970713
Provider Name
Johnson Otong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6703 38 Avenue North, St Petersburg, FL, 33710-1536
Phone Number
727-213-5377
Fax Number
727-828-9639
Provider Enumeration Date
03/25/2014
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ARNP-9340098 01 FL ARNP LICENSE
ACN1650 01 FL FLORIDA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
6703 38 Avenue North
City
State
Zip
33710-1536
Phone Number
727-213-5377
Fax Number
727-828-9639
person
Provider Business Mailing Address Details
Address
6703 38 Avenue North
City
State
Zip
33710-1536
Phone Number
727-213-5377
Fax Number
727-828-9639
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ARNP-9340098 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ACN1650 ()
Definition
Definition to come...
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