Individual
SUPRINA MICHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5439 WEBER PL, LAKELAND, FL 33809-4271
(813) 967-9850
Mailing address
5439 WEBER PL, LAKELAND, FL 33809-4271
(813) 967-9850
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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