Individual
MELISSA MARIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 N HABANA AVE, SUITE 102, TAMPA, FL 33614-7107
(813) 443-5040
(813) 443-5020
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2838252
FL
Other
Enumeration date
01/28/2013
Last updated
06/01/2015
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