# DAVID GREENE MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619256385
- **Authorized official:** DAVID GREENE MD (OWNER)
- **Authorized official phone:** (239) 216-6542

## Contact information

- **Practice address:** 1112 GOODLETTE RD N, SUITE 203, NAPLES, FL 34102-5474
- **Practice address phone:** (239) 263-8444
- **Practice address fax:** (239) 263-6120
- **Mailing address:** 1112 GOODLETTE RD N, SUITE 203, NAPLES, FL 34102-5497
- **Mailing address phone:** (239) 216-6542
- **Mailing address fax:** (239) 263-6120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | ME78059 | FL | Yes |

## Other

- **Enumeration date:** 08/11/2011
- **Last updated:** 11/17/2011