Provider Demographics
NPI:1700200946
Name:TSANGARINOS, JOHNNA (ARNP, ANP-BC, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JOHNNA
Middle Name:
Last Name:TSANGARINOS
Suffix:
Gender:F
Credentials:ARNP, ANP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12780 RACE TRACK RD STE 325
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1395
Mailing Address - Country:US
Mailing Address - Phone:727-657-0461
Mailing Address - Fax:
Practice Address - Street 1:12780 RACE TRACK RD STE 325
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1395
Practice Address - Country:US
Practice Address - Phone:727-657-0461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9262380363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHS543ZOtherMEDICARE PTAN