Individual
DR. URIL COYLETTE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(800) 476-8646
(919) 382-3210
Mailing address
PO BOX 552205, TAMPA, FL 33655-0001
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K7292
TX
207P00000X
Emergency Medicine Physician
ME92697
FL
207Q00000X
Family Medicine Physician
K7292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03516
BCBS
FL
05
—
273944500
—
FL
Enumeration date
05/13/2006
Last updated
08/18/2022
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