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1811913866
PHILIP NATHANIEL JOHNSON
TAMPA, FL
NPI
1811913866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME66825)
Enumeration Date
2006-07-14
Last Update Date
2024-04-30
Business Address
PHILIP NATHANIEL JOHNSON M.D.
2701 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6303
Phone number: 813-738-6690
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Mailing Address
PHILIP NATHANIEL JOHNSON M.D.
2230 SW 19TH AVENUE RD
OCALA, FL 34471-1391
Phone number: 352-237-4133
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