Individual
DR. KEVA T GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
(317) 705-5047
Mailing address
2600 WESTHALL LN STE 4, MAITLAND, FL 32751-7102
(407) 200-2355
(407) 200-4947
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME168386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122767100
—
FL
Enumeration date
03/25/2019
Last updated
02/08/2026
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