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Organization
YOLANDA BACON-GREEN MD PA
Active
Organization
YOLANDA BACON-GREEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA BACON-GREEN MD (PRESIDENT)
(954) 450-0558
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD, SUITE 306, PEMBROKE PINES, FL 33028-1015
(954) 450-0558
(954) 450-2438
Mailing address
PO BOX 268116, WESTON, FL 33326-8116
(954) 450-0558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0044617
FL
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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