Green, Andrew B

Green, Andrew B is an individual health care provider with primary practice located at 1890 Lpga Blvd Suite 230, Daytona Beach FL 32117-7130. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Green, Andrew B can be contacted via phone (386) 274-3336.

Contact Information

Primary practice address
1890 Lpga Blvd Suite 230 Daytona Beach FL 32117-7130
Phone: (386) 274-3336
Fax: (386) 274-3660
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2932 Florida

Profile Details

NPI number 1598787988
LBN Legal business name Green, Andrew B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated May 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598787988 NPPES
Florida MEDICAID 340272000

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