Individual
DAVID P. JOHNSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2 SHIRCLIFF WAY, SUITE 500, JACKSONVILLE, FL 32204-4763
(904) 389-8861
(904) 389-5820
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME24837
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020030075
RAILROAD MEDICARE
FL
01
—
15312
BCBS FL
—
01
—
212990
AVMED
—
01
—
3200365
CIGNA
—
01
—
4045331
AETNA
—
Enumeration date
05/03/2006
Last updated
06/23/2011
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