Individual
DR. STEFANI M GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12302 NE 6TH AVE, NORTH MIAMI, FL 33161-5514
(305) 893-7698
(305) 893-7917
Mailing address
12302 NE 6TH AVE, NORTH MIAMI, FL 33161-5514
(305) 893-7698
(305) 893-7917
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05038
BLUE CROSS BLUE SHIELD
FL
01
—
107076
HUMANA
FL
01
—
1200802
UHC/MDCIAD/HEALTHY KIDS
FL
01
—
179742
JMH HEALTH PLAN
FL
01
—
2473548
UNITED HELTH CARE
FL
01
—
267405
AMERIGROUP
FL
01
—
271260
WELLCARE
FL
01
—
42258
NEIGHBORHOOD HEALTH PARTN
FL
01
—
534/382
PMP/ COMMERCIAL
FL
01
—
6652172
CIGNA
FL
01
—
7654296
AETNA
FL
01
—
AETNA
AVMED
FL
01
—
M818091
PMP/ MEDICAID
FL
01
—
SG076471
VISTA HEALTH PLAN
FL
Enumeration date
01/19/2006
Last updated
07/08/2007
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