MEDICARE: BOLANLE ELENITOBA-JOHNSON APRN

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	363LF0000X	Family Nurse Practitioner	11009141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053914937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOLANLE ELENITOBA-JOHNSON APRN

Provider Business Mailing Address
First Line	:	1005 PINELLAS ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3432
Country	:	US
Telephone Number	:	727-446-2111
Fax Number	:	727-447-2131

Provider Business Practice Location Address
First Line	:	400 PINELLAS ST STE 220
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3318
Country	:	US
Telephone Number	:	727-281-9390
Fax Number	:

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

Provider Enumeration Date	:	11/20/2020
Last Update Date	:	08/26/2024

Similar Medicare Providers

1346484896 — SREEDHAR KATRAGADDA MD
Practice Location Address:

400 PINELLAS ST STE 220
CLEARWATER, FL
33756-3318

Practice Phone: 727-462-3692
Practice Fax: 727-266-4935

1336341668 — DR. VIJAYAKRISHNA GADIYARAM M.D.
Practice Location Address:

400 PINELLAS ST STE 220
CLEARWATER, FL
33756-3318

Practice Phone: 727-462-3692
Practice Fax: 727-266-4935

1679144331 — BAYCARE MEDICAL GROUP INC
Practice Location Address:

400 PINELLAS ST STE 220
CLEARWATER, FL
33756-3318

Practice Phone: 727-462-3692
Practice Fax:

1972598779 — DR. RAJENDRA KOCHIKAR PAI M D
Practice Location Address:

2370 DREW ST , UNIT B
CLEARWATER, FL
33765-3318

Practice Phone: 727-461-1543
Practice Fax: 727-449-0594

1194793125 — DR. DINESHKUMAR R. PATEL MD
Practice Location Address:

2370 DREW ST STE B , PEDIATRIC ASSOCIATES
CLEARWATER, FL
33765-3318

Practice Phone: 727-461-1543
Practice Fax: 727-449-0594

1023377835 — EMILY JONES M.D.
Practice Location Address:

2370 DREW ST STE B
CLEARWATER, FL
33765-3318

Practice Phone: 727-461-1543
Practice Fax:

Directions to “ BOLANLE ELENITOBA-JOHNSON APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.