Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffery Johnson

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1700725736

Jeffery Johnson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

10905 N 14th St
Tampa, FL 33612-5921
Phone: (813) 404-3044
Fax: (813) 754-1659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 6200-SC (FL)

Record details

NPI number1700725736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

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