Individual
MR. MICHAEL GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4535 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6611
(954) 965-3653
(954) 965-3648
Mailing address
4535 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6611
(954) 965-3653
(954) 965-3648
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0700024180
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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