Individual
DR. DALLAS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMS, PA-C
Contact information
Practice address
3661 S MIAMI AVE STE 806, MIAMI, FL 33133-4223
(786) 497-4000
(305) 854-0111
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9108459
FL
Other
Enumeration date
02/25/2015
Last updated
05/02/2024
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