Johnson, Alexander Rd

Johnson, Alexander Rd is an individual health care provider with primary practice located at 601 7Th St S Ste 205 , St Petersburg FL 33701-4708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnson, Alexander Rd can be contacted via phone (727) 893-6234.

Contact Information

Primary practice address
601 7Th St S Ste 205 St Petersburg FL 33701-4708
Phone: (727) 893-6234
Fax: (727) 553-7798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME94339 Florida

Profile Details

NPI number 1568424406
LBN Legal business name Johnson, Alexander Rd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Nov 13th, 2019 - about 6 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 1568424406 NPPES
Florida MEDICAID 006492200
Florida Other 32640

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