Provider Demographics
NPI:1710026778
Name:JOHNSTON, MURRAY (DC)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10651 TAMIAMI TRL N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1915
Mailing Address - Country:US
Mailing Address - Phone:239-596-2225
Mailing Address - Fax:239-566-7246
Practice Address - Street 1:10651 TAMIAMI TRL N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1915
Practice Address - Country:US
Practice Address - Phone:239-596-2225
Practice Address - Fax:239-566-7246
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAH812ZMedicare PIN