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:
Health care specialties
| Specialty | Code | License # | 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 18 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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