Individual
MADISON ABBY JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
3061 SW 94TH ST, GAINESVILLE, FL 32608-7924
(352) 222-4676
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1092
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128370900
—
FL
Enumeration date
08/08/2025
Last updated
11/13/2025
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