Organization
PARK AVE MEDICAL GROUP
Active
Parent organization
APOPKA WELLNESS CENTER
Other names
Park Ave Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
APOPKA WELLNESS CENTER
Authorized official
DR. ADLAI STEVEN GREEN DC (BOSS)
(407) 886-0611
Entity
Organization
Contact information
Practice address
424 N PARK AVE, APOPKA, FL 32712-4152
(407) 886-0611
(407) 886-2817
Mailing address
424 N PARK AVE, APOPKA, FL 32712-4152
(407) 886-0611
(407) 886-2817
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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