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Organization
GREEN HEALTH SERVICES, LLC
Active
Organization
GREEN HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SUSAN WILLIAMS (MGR)
(407) 759-3311
Entity
Organization
Contact information
Practice address
5401 S KIRKMAN RD STE 310, ORLANDO, FL 32819-7937
(407) 759-3311
(407) 602-0894
Mailing address
5401 S KIRKMAN RD STE 310, ORLANDO, FL 32819-7937
(407) 759-3311
(407) 602-0894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
05/29/2021
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