Individual
DR. MATTHEW ALAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 W UNDERWOOD ST, ORLANDO, FL 32806
(407) 648-3800
(407) 872-7754
Mailing address
22 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 872-7754
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2017-01295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024909800
—
FL
Enumeration date
06/21/2010
Last updated
06/27/2019
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