Johnston, Matthew Alan

Johnston, Matthew Alan is an individual health care provider with primary practice located at 22 W Underwood St , Orlando FL 32806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Johnston, Matthew Alan can be contacted via phone (407) 648-3800.

Contact Information

Primary practice address
22 W Underwood St Orlando FL 32806
Phone: (407) 648-3800
Fax: (407) 872-7754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2017-01295 North Carolina

Profile Details

NPI number 1902127285
LBN Legal business name Johnston, Matthew Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Jun 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902127285 NPPES
Florida MEDICAID 024909800

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