MEDICARE: SONJA GOHANNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1679364657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONJA GOHANNA

Provider Business Mailing Address
First Line	:	5005 W LAUREL ST # 2018
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3886
Country	:	US
Telephone Number	:	850-291-5079
Fax Number	:	850-291-5079

Provider Business Practice Location Address
First Line	:	5005 W LAUREL ST # 2018
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3886
Country	:	US
Telephone Number	:	850-291-5079
Fax Number	:	850-291-5079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2025
Last Update Date	:	05/19/2025

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Directions to “ SONJA GOHANNA ” Practice Location

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