Individual
MR. JEFFREY DAVID GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
733 US 1, NORTH PALM BEACH, FL 33408-4513
(561) 840-1090
(561) 840-0792
Mailing address
8511 PORTOBELLO LN, PALM BEACH GARDENS, FL 33418-8185
(772) 631-0516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9234230
FL
Other
Enumeration date
11/29/2011
Last updated
10/27/2014
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