Individual
MR. JASON A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
311 N CLYDE MORRIS BLVD, SUITE 350, DAYTONA BEACH, FL 32114-2781
(386) 255-1266
(386) 255-8520
Mailing address
311 N CLYDE MORRIS BLVD, SUITE 350, DAYTONA BEACH, FL 32114-2781
(386) 255-1266
(386) 255-8520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN3266912
FL
Other
Enumeration date
08/01/2006
Last updated
08/22/2007
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