Individual
DR. DARA A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME92174
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME92174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271538400
—
FL
01
—
ME92174
MEDICAL LICENSE
FL
Enumeration date
08/29/2006
Last updated
11/10/2016
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