Organization
TREASURE COAST THORACIC SURGERY, P.A.
Active
Other names
Brevard Cardiothoracic Surgeons, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A GREENE M.D. (PRESIDENT)
(772) 581-5848
Entity
Organization
Contact information
Practice address
816 US HIGHWAY 1, SEBASTIAN, FL 32958-4141
(772) 581-5848
(772) 581-5849
Mailing address
816 US HIGHWAY 1, SEBASTIAN, FL 32958-4141
(772) 581-5848
(772) 581-5849
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21810
FL BCBS GROUP
FL
05
—
254440700
—
FL
01
—
330004682
MEDICARE RAILROAD ID
—
05
—
373207000
—
FL
01
—
68633
DR M GREENE BLUE SHIELD
FL
Enumeration date
09/20/2005
Last updated
07/21/2022
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