Individual
ELIANA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
178 LASALLE LEFFALL DR, QUINCY, FL 32351-5278
(850) 875-3600
Mailing address
178 LASALLE LEFFALL DR, QUINCY, FL 32351-5278
(850) 875-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9108613
FL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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