Green, Douglas
Green, Douglas is an individual health care provider with primary practice located at 1350 S Hickory Street , Melbourne FL 32901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Green, Douglas can be contacted via phone (321) 254-6218.Contact Information
Primary practice address
1350 S Hickory Street
Melbourne FL 32901
Phone: (321) 254-6218
Fax: (321) 254-6230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME0081481 | Florida |
Profile Details
| NPI number | 1134109267 |
|---|---|
| LBN Legal business name | Green, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134109267 | NPPES |
| Florida | Other | 01899 | BCBS |
| Florida | MEDICAID | 260906100 | BCBS |
Popular Providers
-
Pirazzi, Beatriz M
1350 S Hickory Street , Melbourne FL 32901 -
Gutta, Rajesh
1350 S Hickory Street , Melbourne FL 32901 -
Gettings, David Scott
991 Thomas Barbour Dr , Melbourne FL 32935-6966 -
Smith, Milton
250 N Wickham Rd , Melbourne FL 32935-8625 -
Greene, Uril Coylette
250 N Wickham Rd , Melbourne FL 32935-8625 -
Redman, Danny
250 N Wickham Rd , Melbourne FL 32935-8625 -
Griffin, John P
1350 S Hickory Street , Melbourne FL 32901 -
Gagen, James Shawn
1350 S Hickory Street , Melbourne FL 32901