| Dr Johnson Otong, MD | |
|
6703 38th Ave N, St Petersburg, FL 33710-1536 | |
| (727) 213-5377 | |
| (727) 828-9639 |
| Full Name | Dr Johnson Otong |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 6703 38th Ave N, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477970713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1650 (Florida) | Primary |
| Entity Name | Hernando Pasco Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245273093 PECOS PAC ID: 0547231474 Enrollment ID: O20040804000808 |
| Entity Name | American Care Of Tampa Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245385095 PECOS PAC ID: 6103845268 Enrollment ID: O20051117000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnson Otong, MD Po Box 850001, Dept 8340, Orlando, FL 32885-0001 Ph: (813) 536-7277 | Dr Johnson Otong, MD 6703 38th Ave N, St Petersburg, FL 33710-1536 Ph: (727) 213-5377 |
Alan B Campbell, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 863 3rd Ave N, St Petersburg, FL 33701 Phone: 727-821-1200 Fax: 727-321-6412 | |
Dr. Francisco Jose Rodriguez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1839 Central Ave, St Petersburg, FL 33713 Phone: 727-322-1054 | |
Richard T Eliason, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 863 3rd Ave N, St Petersburg, FL 33701 Phone: 727-821-1200 | |
Dr. Edward Les Cole Iii, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2100 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 Phone: 727-202-6807 Fax: 727-498-6642 | |
Dr. Judith Ellen Kline, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 750 94 Ave N, #201, St Petersburg, FL 33702 Phone: 727-577-0981 Fax: 727-576-4166 | |
Mr. Nhu Van Bui, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3731 Central Ave, St Petersburg, FL 33713 Phone: 727-686-1514 | |
Dr. Hector Felix Mesidor, M,D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1839 Central Ave, St Petersburg, FL 33713 Phone: 727-896-1300 |