Green, Martha Kay

Green, Martha Kay is an individual health care provider with primary practice located at 500 N Washington Ave Ste 105 , Titusville FL 32796. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Martha Kay can be contacted via phone (212) 680-2673.

Contact Information

Primary practice address
500 N Washington Ave Ste 105 Titusville FL 32796
Phone: (212) 680-2673
Fax: (321) 268-3357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1800302 Florida

Profile Details

NPI number 1134366586
LBN Legal business name Green, Martha Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2009
Last updated Aug 27th, 2018 - about 6 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 1134366586 NPPES
Florida MEDICAID 024818900

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