Tonja T Johnson in Lutz - Addiction Medicine
Tonja T Johnson - NPI 1386770196
Tonja T Johnson is a Addiction Medicine in Lutz, Florida. Tonja T Johnson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Tonja T Johnson is 1386770196. The last update date is 2022-07-20.
Tonja T Johnson's current location address is 23110 State Road 54 # 367, Lutz, Florida. You can contact this provider via phone number 8135273612. The mailing address for Tonja T Johnson is 23110 State Road 54 # 367, Lutz, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tonja T Johnson |
|---|---|
| Address | 23110 State Road 54 # 367, Lutz, Florida |
| Phone Number | 8135273612 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386770196 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2022-07-20 |
Provider Mailing Address Detail
| Address | 23110 State Road 54 # 367 |
|---|---|
| City | Lutz |
| State | Florida (FL) |
| Post Code | 335496933 |
| Phone Number | 8135273612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | ME105192 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34400 | AZ | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tonja T Johnson?
The Tonja T Johnson has been issued the NPI (National Provider Identifier) 1386770196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tonja T Johnson's facilities are situated?
The facilities of Tonja T Johnson are physically located at the following address: 23110 State Road 54 # 367, Lutz, FL, 335496933.
What is Tonja T Johnson's area of expertise and its corresponding taxonomy classification?
The Tonja T Johnson's field of specialization is Addiction Medicine, and it falls under the taxonomy code 2084A0401X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tonja T Johnson receive the assignment of its 1386770196 from the Centers for Medicare & Medicaid Services?
The Tonja T Johnson was issued its 1386770196 by the Centers for Medicare & Medicaid Services on 2007-02-26.
As of what date were the details related to Tonja T Johnson most recently updated or revised?
The information pertaining to Tonja T Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-20.