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1023020302
BRAD L JOHNSON
TAMPA, FL
NPI
1023020302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: FL ME69430)
Enumeration Date
2006-08-13
Last Update Date
2021-03-31
Business Address
BRAD L JOHNSON MD
2 TAMPA GENERAL CIR
TAMPA, FL 33606-3603
Phone number: 813-974-2201
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Mailing Address
BRAD L JOHNSON MD
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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