Individual
KRISTIE A GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1617 S TUTTLE AVE STE 1A, SARASOTA, FL 34239-3132
(941) 799-5753
(888) 814-0877
Mailing address
1617 S TUTTLE AVE STE 1A, SARASOTA, FL 34239-3132
(941) 799-5753
(888) 814-0877
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME106607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018894600
—
FL
01
—
4034M
FL BLUE CROSS
FL
Enumeration date
10/15/2007
Last updated
09/10/2024
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