Organization
GREENE UROLOGICAL CENTER P.A.
Active
Parent organization
GREENE UROLOGICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE UROLOGICAL CENTER
Authorized official
MRS. CAROL GREENE (OFFICE MANAGER)
(386) 426-2565
Entity
Organization
Contact information
Practice address
308 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7136
(386) 426-2565
Mailing address
308 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7136
(386) 426-2565
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379897600
—
FL
Enumeration date
09/12/2007
Last updated
10/27/2014
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