Individual
BRIGGS D GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 867-8311
(352) 867-1053
Mailing address
2405 SE 17TH ST STE 201, OCALA, FL 34471-9190
(352) 690-2171
(352) 690-6954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2997
FL
363AS0400X
Surgical Physician Assistant
PA2997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230482
AMERIGROUP
FL
05
—
290201100
—
FL
01
—
33803A
GROUP MEDICARE NUMBER
—
01
—
E0968
BCBS FL
FL
Enumeration date
06/29/2006
Last updated
01/28/2022
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