Individual
DR. DEAN LIVINGSTON JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4106 W LAKE MARY BLVD, #212, LAKE MARY, FL 32746-3315
(407) 333-2525
(407) 333-9583
Mailing address
4106 W. LAKE MARY BLVD, #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
01
—
02565
BLUE CROSS BLUE SHIELD
FL
05
—
045599700
—
FL
Enumeration date
08/02/2006
Last updated
01/28/2011
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