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Individual

MATTHEW W JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2954 MALLORY CIR STE 101, CELEBRATION, FL 34747-1820
(321) 939-0222
(321) 939-0225
Mailing address
2954 MALLORY CIR STE 101, CELEBRATION, FL 34747-1820
(321) 939-0222
(321) 939-0225

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS10303
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129163000
FL
05
280946000
FL
01
30381
BLUECROSS BLUESHIELD
FL
01
316379
AVMED
FL
01
7596334
CIGNA
FL
01
9463126
AETNA
FL
01
P00659065
MEDICARE RAILROAD
FL
Enumeration date
05/16/2007
Last updated
03/31/2026
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