Individual
ANTHONY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1900
(855) 832-6727
Mailing address
7480 ATLANTA ST, HOLLYWOOD, FL 33024-2714
(954) 319-3204
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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