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NPI Code Detail

MEDICARE: DR. HAROLD PATRICK JOHNSON M.D.

MEDICARE: DR. HAROLD PATRICK JOHNSON M.D.
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
12084P0802XAddiction Psychiatry PhysicianME 94208FL

General Provider Information

NPI Number : 1720264906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD PATRICK JOHNSON M.D.
Provider Business Mailing Address
First Line : 1525 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-3203
Country : US
Telephone Number : 863-343-3275
Fax Number :
Provider Business Practice Location Address
First Line : 1525 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-3203
Country : US
Telephone Number : 863-343-3275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2008
Last Update Date : 05/27/2026

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