Organization
HEART 2 HEART FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLICIA MICHELE GREEN (PRESIDENT)
(386) 659-2104
Entity
Organization
Contact information
Practice address
1326 STATE ROAD 100, MELROSE, FL 32666-3701
(386) 659-2104
(386) 659-2196
Mailing address
1326 STATE ROAD 100, MELROSE, FL 32666-3701
(386) 659-2104
(386) 659-2196
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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