LAVAROUS ANTWON JOHNSON

TAMPA, FL
NPI1073273660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2021-12-22
Last Update Date2023-05-25
Business Address
LAVAROUS ANTWON JOHNSON Physician Assistant
401 W KENNEDY BLVD
TAMPA, FL 33606-1450
Phone number: 757-528-7563
Mailing Address
LAVAROUS ANTWON JOHNSON Physician Assistant
302 W FLETCHER AVE
TAMPA, FL 33612-3415
Phone number:
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