Organization
LEE A GREEN PH D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE A. GREEN PH.D. (PRESIDENT)
(941) 951-6504
Entity
Organization
Contact information
Practice address
2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL 34239-2635
(941) 951-6504
(941) 951-6433
Mailing address
2650 BAHIA VISTA ST, SUITE 201, SARASOTA, FL 34239-2635
(941) 951-6504
(941) 951-6433
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY5323
FL
Other
Enumeration date
12/12/2007
Last updated
02/19/2008
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