Individual
MRS. ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3203 PINELLAS PL, TAMPA, FL 33619-6539
(813) 280-9795
(813) 354-4547
Mailing address
3203 PINELLAS PL, TAMPA, FL 33619-6539
(813) 280-9795
(813) 354-4547
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6906815
FL
Other
Enumeration date
06/15/2016
Last updated
12/27/2016
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