MEDICARE: MS. LATIVIA DEANNA JOHNSON

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	251E00000X	Home Health Agency	230667	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629209515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATIVIA DEANNA JOHNSON

Provider Business Mailing Address
First Line	:	PO BOX 1003
Second Line	:
City	:	FORT MEADE
State	:	FL
Zip	:	33841-1003
Country	:	US
Telephone Number	:	863-440-2662
Fax Number	:	813-982-2039

Provider Business Practice Location Address
First Line	:	1306 E ANNIE ST
Second Line	:	APT A
City	:	TAMPA
State	:	FL
Zip	:	33612-8746
Country	:	US
Telephone Number	:	863-440-2662
Fax Number	:	813-982-2039

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

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	07/27/2009

Similar Medicare Providers

1477537199 — SENIOR CARE GROUP OF MCDOWELL LLC
Practice Location Address:

306 DEER PARK RD
NEBO, NC
28761-8746

Practice Phone: 828-652-3032
Practice Fax: 828-656-7224

1902107550 — DR. MICHELLE G. ROBISON PSY.D.
Practice Location Address:

5510 N HESPERIDES ST
TAMPA, FL
33614-5414

Practice Phone: 813-402-8746
Practice Fax:

1376848887 — CENTER FOR INTERNAL MEDICINE INC TEMPLE TERRACE
Practice Location Address:

4941 E BUSCH BLVD , SUITE #140
TAMPA, FL
33617-6056

Practice Phone: 813-985-2333
Practice Fax: 813-989-8746

1225432776 — CRYSTAL JONES LCSW
Practice Location Address:

9332 STATE ROAD 54 STE 307
NEW PORT RICHEY, FL
34655-1810

Practice Phone: 833-769-3524
Practice Fax:

1245758945 — PRINCESS YOLANDA WALKER
Practice Location Address:

14599 SEAFORD CIR APT 201
TAMPA, FL
33613-5077

Practice Phone: 813-562-8746
Practice Fax:

1760207633 — SKYLAR CHARRON
Practice Location Address:

8001 BEATY GROVE DR
TAMPA, FL
33626-1602

Practice Phone: 813-926-5454
Practice Fax:

Directions to “ MS. LATIVIA DEANNA JOHNSON ” 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.