# GREENTREE MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1952670093
- **Authorized official:** ASTRID ROZO (OWNER)
- **Authorized official phone:** (954) 436-0555

## Contact information

- **Practice address:** 12177 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
- **Practice address phone:** (954) 436-0555
- **Practice address fax:** (954) 449-4634
- **Mailing address:** 12177 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
- **Mailing address phone:** (954) 436-0555
- **Mailing address fax:** (954) 449-4634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2011
- **Last updated:** 12/19/2011