Most Relevant Information
Provider Data
| NPI Number: | 1003556903 |
| Provider Name: | GBEMISOLA OLUWAKEMI JOHNSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2022 |
| Last Updated: | 03/30/2022 |
Provider Practice Location
6500 38TH AVE N
ST PETERSBURG
FL
337101629
Practice Location Phone/Fax
| Phone: | 7273847727 |
| Fax: | 7273414886 |
Provider Mailing Location
6500 38TH AVE N
ST PETERSBURG
FL
337101629
Provider Mailing Phone/Fax
| Phone: | 7273847727 |
| Fax: | 7273414886 |