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Organization
MARTIN B. GREEN, D.C., PLLC
Active
Organization
MARTIN B. GREEN, D.C., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN B. GREEN D.C. (MANAGING MEMBER)
(305) 891-4114
Entity
Organization
Contact information
Practice address
640 NE 124TH ST, NORTH MIAMI, FL 33161-5523
(305) 891-4114
(305) 891-4114
Mailing address
640 NE 124TH ST, NORTH MIAMI, FL 33161-5523
(305) 891-4114
(305) 891-4114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NN1001X
Nutrition Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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