Individual
JAMES R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4180
(352) 333-4861
Mailing address
4131 NW 13TH ST, SUITE 101, GAINESVILLE, FL 32609-1858
(352) 376-1887
(352) 375-7451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0044699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05520
BCBS
FL
Enumeration date
08/01/2006
Last updated
11/29/2007
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