Johnson, Jeffery Lee

Johnson, Jeffery Lee is an individual health care provider with primary practice located at 603 7Th St So #500, St Petersburg FL 33701-4734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Johnson, Jeffery Lee can be contacted via phone (727) 822-0442.

Contact Information

Primary practice address
603 7Th St So #500 St Petersburg FL 33701-4734
Phone: (727) 822-0442
Fax: (727) 821-0416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D59146 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X ME71729 Florida

Profile Details

NPI number 1144252727
LBN Legal business name Johnson, Jeffery Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 12th, 2010 - about 14 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 1144252727 NPPES
Maryland MEDICAID 404698600

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