Provider Demographics
NPI:1326207788
Name:JOHNSON, JOYCE TAWFIK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:TAWFIK
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JOYCE
Other - Middle Name:MARY
Other - Last Name:TAWFIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 5TH ST S APT 3211
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4804
Mailing Address - Country:US
Mailing Address - Phone:727-767-3333
Mailing Address - Fax:
Practice Address - Street 1:601 5TH ST S APT 3211
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4804
Practice Address - Country:US
Practice Address - Phone:727-767-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1350302080P0202X
FLME1522812080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology