Individual
JONATHAN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.T.
Contact information
Practice address
7075 47TH ST, PINELLAS PARK, FL 33781-4412
(727) 520-8360
Mailing address
7075 47TH ST, PINELLAS PARK, FL 33781-4412
(727) 520-8360
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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