Individual provider · Type 1 NPI

Lavarous Antwon Johnson, PHYSICIAN ASSISTANT

Medical Physician Assistant · Tampa, FL

NPI number 1073273660 Active

Practice location

401 W Kennedy Blvd
Tampa, FL 33606-1450

Call (757) 528-7563 Map

Mailing address

302 W Fletcher Ave
Tampa, FL 33612-3415

Other practice locations

  • 6223 66th St N, Pinellas Park, FL 33781-5025 · (727) 528-4900

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1073273660

Lavarous Antwon Johnson, PHYSICIAN ASSISTANT's National Provider Identifier is 1073273660, issued on Dec 22, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tampa, FL. The record was last updated on May 25, 2023.