NPI 1215158225
Coleen Basta Johnston, DVM
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
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.