Individual
SHERI B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21297 OLEAN BLVD STE A, PORT CHARLOTTE, FL 33952-6704
(855) 979-5700
Mailing address
2675 WINKLER AVE FL 2FLOOR, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9105298
FL
Other
Enumeration date
12/09/2009
Last updated
11/27/2019
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