Healthcare Provider Details

I. General information

NPI: 1730447400
Provider Name (Legal Business Name): JOHONNA GILBREATH ASQUITH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOHONNA LYNN GILBREATH M.D.

II. Dates (important events)

Enumeration Date: 05/01/2012
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14690 SPRING HILL DR STE 206
SPRING HILL FL
34609
US

IV. Provider business mailing address

14690 SPRING HILL DR STE 305
SPRING HILL FL
34609-8102
US

V. Phone/Fax

Practice location:
  • Phone: 352-799-4206
  • Fax: 352-799-4207
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME132589
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: