Jeffery Johnson
Jeffery Johnson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2026
Practice location Address checks out
10905 N 14th StTampa, FL 33612-5921
Phone: (813) 404-3044
Fax: (813) 754-1659
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 6200-SC (FL) |
|---|
Record details
| NPI number | 1700725736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2026 |
| Last updated in NPPES | March 26, 2026 |
| Certification date | March 26, 2026 |
| Mailing address | 1225 Alpine Lake Dr, Brandon, FL 33511-1898 |
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