Provider Demographics
NPI:1730447400
Name:ASQUITH, JOHONNA GILBREATH (MD)
Entity type:Individual
Prefix:
First Name:JOHONNA
Middle Name:GILBREATH
Last Name:ASQUITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOHONNA
Other - Middle Name:LYNN
Other - Last Name:GILBREATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:14690 SPRING HILL DR STE 305
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:14690 SPRING HILL DR STE 206
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609
Practice Address - Country:US
Practice Address - Phone:352-799-4206
Practice Address - Fax:352-799-4207
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME132589207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program