JORDAN JOHANSON

ZEPHYRHILLS, FL
NPI1487439212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11027082)
Enumeration Date2023-08-29
Last Update Date2023-08-29
Business Address
JORDAN JOHANSON
38135 MARKET SQUARE DR
ZEPHYRHILLS, FL 33542-7505
Phone number: 813-780-8440
Mailing Address
JORDAN JOHANSON
8319 PINE RIVER RD
TAMPA, FL 33637-1011
Phone number: