John, Johnathan B

John, Johnathan B is an individual health care provider with primary practice located at 3003 W Dr Mlk Blvd 3Rd Floor Mab, Tampa FL 33607-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. John, Johnathan B can be contacted via phone (727) 322-4830.

Contact Information

Primary practice address
3003 W Dr Mlk Blvd 3Rd Floor Mab Tampa FL 33607-6307
Phone: (727) 322-4830
Fax: (813) 870-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 77755 Florida

Profile Details

NPI number 1891732814
LBN Legal business name John, Johnathan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891732814 NPPES
Florida MEDICAID 270521400

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