Organization
DEAN L. JOHNSTON, MD., INC
Active
Other names
Dean L. Johnston, MD. P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN L JOHNSTON MD (PRESIDENT)
(407) 333-2525
Entity
Organization
Contact information
Practice address
4106 W LAKE MARY BLVD STE 212, LAKE MARY, FL 32746-3344
(407) 333-2525
(407) 333-9583
Mailing address
4106 W LAKE MARY BLVD STE 212, LAKE MARY, FL 32746-3344
(407) 333-2525
(407) 333-9583
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0037508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045599700
—
FL
Enumeration date
10/27/2010
Last updated
01/28/2011
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