Provider Demographics
NPI:1679364657
Name:GOHANNA, SONJA
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:GOHANNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 W LAUREL ST # 2018
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-3886
Mailing Address - Country:US
Mailing Address - Phone:850-291-5079
Mailing Address - Fax:850-291-5079
Practice Address - Street 1:5005 W LAUREL ST # 2018
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3886
Practice Address - Country:US
Practice Address - Phone:850-291-5079
Practice Address - Fax:850-291-5079
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty