| David J Green, Md | |
|
7000 State Road 544 Ste 7 Winter Haven FL 33881-9536 | |
| (863) 291-3732 | |
| (863) 299-6287 |
| Full Name | David J Green, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 7000 State Road 544, Winter Haven, Florida |
| Authorized Official Name and Position | David J Green (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8632913732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Green, Md 7000 State Road 544 Ste 7 Winter Haven FL 33881-9536 Ph: (863) 291-3732 | David J Green, Md 7000 State Road 544 Ste 7 Winter Haven FL 33881-9536 Ph: (863) 291-3732 |
| NPI Number | 1396097903 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396097903 | NPI | - | NPPES |
| 039042900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0029242 (Florida) | Primary |
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