Organization
JASON GREEN DO PA
Active
Other names
Green Dermatology & Cosmetic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON GREEN D.O. (PHYSICIAN/OWNER)
(954) 481-0650
Entity
Organization
Contact information
Practice address
260 SW NATURA AVE, SUITE 101, DEERFIELD BEACH, FL 33441-3026
(954) 481-0650
(954) 481-0651
Mailing address
260 SW NATURA AVE, SUITE 101, DEERFIELD BEACH, FL 33441-3026
(954) 481-0650
(954) 481-0651
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS 88871
FL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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