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1487439212
JORDAN JOHANSON
ZEPHYRHILLS, FL
NPI
1487439212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11027082)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
JORDAN JOHANSON
38135 MARKET SQUARE DR
ZEPHYRHILLS, FL 33542-7505
Phone number: 813-780-8440
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Mailing Address
JORDAN JOHANSON
8319 PINE RIVER RD
TAMPA, FL 33637-1011
Phone number:
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