Individual
DR. TREVOR O GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 UNIVERSITY BLVD S, STE 203, JACKSONVILLE, FL 32216-4226
(904) 733-4444
(904) 733-5377
Mailing address
3550 UNIVERSITY BLVD S, STE 203, JACKSONVILLE, FL 32216-4226
(904) 733-4444
(904) 733-5377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 89472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268976600
—
FL
01
—
37706
BCBS
FL
01
—
P00060522
RAILROAD MEDICARE
FL
Enumeration date
06/10/2005
Last updated
12/17/2013
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