Individual
MS. REBECCA LAUREN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5340 N FEDERAL HWY STE 110, LIGHTHOUSE POINT, FL 33064-7058
(754) 212-2935
Mailing address
10340 CITY CENTER BLVD APT 204, PEMBROKE PINES, FL 33025-4483
(561) 215-0780
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9114034
FL
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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