Green, Laura Elizabeth

Green, Laura Elizabeth is an individual health care provider with primary practice located at 1511 Sw 1St Ave , Ocala FL 34471-6505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Green, Laura Elizabeth can be contacted via phone (352) 867-8311.

Contact Information

Primary practice address
1511 Sw 1St Ave Ocala FL 34471-6505
Phone: (352) 867-8311
Fax: (352) 867-1053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104085 Florida

Profile Details

NPI number 1013057801
LBN Legal business name Green, Laura Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Apr 16th, 2009 - about 15 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 1013057801 NPPES
Florida MEDICAID 292688100

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