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DR. DEAN LIVINGSTON JOHNSTON M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1598772154

Individual Registrant:
DR. DEAN LIVINGSTON JOHNSTON M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
4106 W LAKE MARY BLVD #212 LAKE MARY, FL 32746-3315 US
Tel: 407-333-2525  Fax: 407-333-9583

Contact information for business:
4106 W. LAKE MARY BLVD #212 LAKE MARY, FL 32746-3344 US
Tel: 407-333-2525  Fax: 407-333-9583

Registration Information:
NPI: 1598772154
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
FLME0037508

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
045599700FL05
BLUE CROSS BLUE SHIELD02565FL01




HEALTH CARE JOBS FL - Page 1



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