# DONNA J. BADOLATO, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Donna Johnston, MD.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578787941
- **Authorized official:** DONNA C. JOHNSTON M.D. (OWNER)
- **Authorized official phone:** (321) 751-7041

## Contact information

- **Practice address:** 8061 SPYGLASS HILL RD., SUITE 102, MELBOURNE, FL 32940
- **Practice address phone:** (321) 751-7041
- **Practice address fax:** (321) 751-7042
- **Mailing address:** 8061 SPYGLASS HILL RD., SUITE 102, MELBOURNE, FL 32940
- **Mailing address phone:** (321) 751-7041
- **Mailing address fax:** (321) 751-7042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME76813 | FL | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 05/21/2020