NPI 1255568028

Naomi G Johansen, MD

Practitioner Dermatology Physician St Petersburg, FL

Practice location

Address: 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4202
Phone: (727) 202-9442
Fax: (727) 265-2507

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence ME115586 (FL)

Other Dermatology providers in Florida →

Registry record

NPI: 1255568028
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2009
Record last updated: 22 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.