Individual
CONSTANCE ALEXIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Mailing address
13904 N DALE MABRY HWY, SUITE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1892
FL
231H00000X
Audiologist
AZ663
FL
Other
Enumeration date
05/15/2014
Last updated
12/23/2015
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