Greene, Kristie A

Greene, Kristie A is an individual health care provider with primary practice located at 1900 S Tuttle Ave , Sarasota FL 34239-3114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as her primary health care specialty. Greene, Kristie A can be contacted via phone (941) 799-5753.

Contact Information

Primary practice address
1900 S Tuttle Ave Sarasota FL 34239-3114
Phone: (941) 799-5753
Fax: (888) 814-0877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X ME106607 Florida

Profile Details

NPI number 1487843520
LBN Legal business name Greene, Kristie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Dec 5th, 2022 - about 3 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 1487843520 NPPES
Florida Other GRZ0D BLUE CROSS AND BLUE SHIELD
Florida MEDICAID 018894600 BLUE CROSS AND BLUE SHIELD

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