Green, Melissa J

Green, Melissa J is an sole proprietor health care provider with primary practice located at 2301 N University Dr Suite 108, Pembroke Pines FL 33024-3617. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Green, Melissa J can be contacted via phone (954) 271-7180.

Contact Information

Primary practice address
2301 N University Dr Suite 108 Pembroke Pines FL 33024-3617
Phone: (954) 271-7180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS 11024 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS 11024 Florida

Profile Details

NPI number 1396932216
LBN Legal business name Green, Melissa J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2007
Last updated Mar 26th, 2021 - about 4 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 1396932216 NPPES
Florida MEDICAID 002826900

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