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Individual

MR. DANIEL JOSEPH GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
619 S. MARION AVENUE, LAKE CITY VA MEDICAL CENTER, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
913 NW 52ND TERRACE, GAINESVILLE, FL 32605
(352) 373-0217

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT115
FL

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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