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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477970713 | NPPES |
| Florida | Other | ARNP-9340098 | ARNP LICENSE |
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