Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Johnson Otong, MD

Individual provider General Practice Physician · NPI 1477970713

Dr. Johnson Otong, MD is a General Practice in St Petersburg, Florida. Qualified in 2002, 24 years ago. Practices with Hernando Pasco Primary Care LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6703 38th Ave N
St Petersburg, FL 33710-1536
Phone: (727) 213-5377
Fax: (727) 828-9639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1650 (FL)

Record details

NPI number1477970713
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing addressPo Box 850001, Dept 8340, Orlando, FL 32885-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Hernando Pasco Primary Care Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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