Green, Jeremy Blair
Green, Jeremy Blair is an individual health care provider with primary practice located at 4425 Ponce De Leon Blvd Suite 200, Coral Gables FL 33146-1837. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Green, Jeremy Blair can be contacted via phone (305) 443-6606.Contact Information
Primary practice address
4425 Ponce De Leon Blvd Suite 200
Coral Gables FL 33146-1837
Phone: (305) 443-6606
Fax: (305) 443-4890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME107541 | Florida |
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME107541 | Florida |
Profile Details
NPI number | 1225249055 |
---|---|
LBN Legal business name | Green, Jeremy Blair |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2007 |
Last updated | Aug 22nd, 2011 - about 13 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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