Individual
RICHARD CHARLES GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, RRT
Contact information
Practice address
5526 NW 29TH ST, GAINESVILLE, FL 32653-1861
(352) 610-3088
Mailing address
5526 NW 29TH ST, GAINESVILLE, FL 32653-1861
(352) 610-3088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA38940
FL
2278H0200X
Home Health Certified Respiratory Therapist
Primary
RT10431
FL
Other
Enumeration date
07/31/2010
Last updated
02/28/2022
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