Otong, Johnson

Otong, Johnson is an individual health care provider with primary practice located at 2791 Lake Alfred Rd American Care Of Tampa, Inc., Winter Haven FL 33881-1432. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Otong, Johnson can be contacted via phone (863) 291-4590.

Contact Information

Primary practice address
2791 Lake Alfred Rd American Care Of Tampa, Inc. Winter Haven FL 33881-1432
Phone: (863) 291-4590
Fax: (863) 508-6503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP-9340098 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 60650287 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16570I Puerto Rico

Profile Details

NPI number 1477970713
LBN Legal business name Otong, Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Aug 2nd, 2023 - about last year

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 1477970713 NPPES
Florida Other ARNP-9340098 ARNP LICENSE

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