Individual
LESLIE M GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6320 OLD WINTER GARDEN RD, ORLANDO, FL 32835-1381
(407) 290-0555
(407) 295-0028
Mailing address
6336 W COLONIAL DR, ORLANDO, FL 32818-7812
(407) 447-4283
(407) 447-4274
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
ME 92185
FL
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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