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Dr. Dean Livingston Johnston, MD
Specialist in Lake Mary, Florida
NPI 1598772154

Dean Livingston Johnston is a Specialist based in Lake Mary, FL. Dean Livingston Johnston practices in Lake Mary, FL and has the professional credentials of MD. The NPI Number for Dean Livingston Johnston is 1598772154 and holds a License No. ME0037508 (Florida).

The current practice location address for Dean Livingston Johnston is 4106 W Lake Mary Blvd, Lake Mary, FL and can be reached out via phone at 407-333-2525 and via fax at 407-333-9583.

Location: 4106 W Lake Mary Blvd, Lake Mary, FL, 32746-3344
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Provider Profile Details
NPI Number
1598772154
Provider Name
Dean Livingston Johnston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4106 W Lake Mary Blvd, Lake Mary, FL, 32746-3344
Phone Number
407-333-2525
Fax Number
407-333-9583
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02565 01 FL BLUE CROSS BLUE SHIELD
045599700 05 FL
institution
Provider Business Practice Location Address Details
Address
4106 W Lake Mary Blvd
City
State
Zip
32746-3315
Phone Number
407-333-2525
Fax Number
407-333-9583
person
Provider Business Mailing Address Details
Address
4106 W Lake Mary Blvd
City
State
Zip
32746-3315
Phone Number
407-333-2525
Fax Number
407-333-9583
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME0037508 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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