David J Green, Md

LBN: David J Green, Md
David J Green, Md is an health care organization with primary practice located at 7000 State Road 544 Ste 7, Winter Haven FL 33881-9536. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. David J Green, Md can be contacted via phone (863) 291-3732, or through Green, David J via phone (863) 291-3732.

Contact Information

Primary practice address
7000 State Road 544 Ste 7 Winter Haven FL 33881-9536
Phone: (863) 291-3732
Fax: (863) 299-6287
Website:
Map and Directions
Authorized official contact:
Name: Green, David J Doctor of Medicine (MD)
Phone: (863) 291-3732

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0029242 Florida

Profile Details

NPI number 1396097903
LBN Legal business name David J Green, Md
DBA Doing business as
Authorized official Green, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2012
Last updated Oct 18th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396097903 NPPES
Florida MEDICAID 039042900

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