Individual
PRISCILLA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 E MADISON ST STE 1206, TAMPA, FL 33602-4619
(813) 863-6762
(813) 354-4547
Mailing address
10312 BLOOMINGDALE AVE, STE 108 PMB 348, RIVERVIEW, FL 33578-3663
(813) 863-3717
(813) 354-4547
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L1300174463
FL
Other
Enumeration date
12/27/2016
Last updated
01/23/2022
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