Whalio Doctors

NPI 1215158225

Coleen Basta Johnston, DVM

Practitioner Veterinarian Palm Bay, FL

Practice location

Address
1340 Palm Bay Rd, Palm Bay, FL 32905
Phone
(321) 725-9770
Fax
(321) 724-9604
Mailing address
281 Brandy Creek Circle SE, Palm Bay, FL 32909

Registered specialties

Veterinarian Primary
Other Service Providers Taxonomy 174M00000X Licence VM8412 (FL)

Registry record

NPI
1215158225
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.