Organization
MONTVERDE MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URIL GREENE M.D. (OWNER/PRESIDENT)
(386) 871-8535
Entity
Organization
Contact information
Practice address
17434 8TH STREET, MONTVERDE, FL 34756
(386) 871-8535
(386) 269-4328
Mailing address
27 RIVER RIDGE TRL, ORMOND BEACH, FL 32174-4341
(386) 871-8535
(386) 269-4328
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
ME92697
FL
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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