Johnathan Fourthman

NPI 1689090979 · on the registry since 2014 · sole proprietor

Practice

Address: 401 E Jackson St
Ste 2340
Tampa, FL 33602
Phone: (813) 841-5032
Organisation at this address: Flnursedoula
Veuu Finance Inc
Rcs Medical Corp
Rcs Medical Corp
Tammys Heart Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida