| Donna Johnston, Md. | |
|
8061 Spyglass Hill Rd. Suite 102 Melbourne FL 32940 | |
| (321) 751-7041 | |
| (321) 751-7042 |
| Full Name | Donna Johnston, Md. |
|---|---|
| Speciality | Family Medicine |
| Location | 8061 Spyglass Hill Rd., Melbourne, Florida |
| Authorized Official Name and Position | Donna C. Johnston (OWNER) |
| Authorized Official Contact | 3217517041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Johnston, Md. 8061 Spyglass Hill Rd. Suite 102 Melbourne FL 32940 Ph: (321) 751-7041 | Donna Johnston, Md. 8061 Spyglass Hill Rd. Suite 102 Melbourne FL 32940 Ph: (321) 751-7041 |
| NPI Number | 1578787941 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578787941 | NPI | - | NPPES |
| 7158131 | Other | FL | AETNA INSURANCE |
| $$$$$$$$$ | Other | FL | SOCIAL SECURITY NUMBER |
| 49715 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME76813 (Florida) | Primary |
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