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Organization
JOHN J GREEN DO PA
Active
Organization
JOHN J GREEN DO PA
Active
Other names
Internal Medicine and General Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JUSTIN GREEN D.O. (PRESIDENT)
(239) 332-4099
Entity
Organization
Contact information
Practice address
14131 METROPOLIS AVENUE, SUITE 104, FORT MYERS, FL 33912-4336
(239) 332-4099
(239) 332-4088
Mailing address
15880 SUMMERLIN RD, PMB 207, FORT MYERS, FL 33908-9612
(239) 332-4099
(239) 332-4088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS 8155
FL
Other
Enumeration date
05/10/2007
Last updated
01/06/2009
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