Green, Jason

Green, Jason is an individual health care provider with primary practice located at 5721 Ne 27Th Ave , Fort Lauderdale FL 33308-2703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Green, Jason can be contacted via phone (954) 772-0416.

Contact Information

Primary practice address
5721 Ne 27Th Ave Fort Lauderdale FL 33308-2703
Phone: (954) 772-0416
Fax: (954) 772-5716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS8871 Florida

Profile Details

NPI number 1427167261
LBN Legal business name Green, Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 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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