Individual
CODY CHRISTOPHER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7243 DELLA DR STE I, ORLANDO, FL 32819-5126
(321) 428-0060
(321) 842-0089
Mailing address
7243 DELLA DR STE I, ORLANDO, FL 32819-5126
(321) 428-0060
(321) 842-0089
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2020-00293
NC
207X00000X
Orthopaedic Surgery Physician
Primary
ME150934
FL
207X00000X
Orthopaedic Surgery Physician
TRN21698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730024
NSC#
NC
Enumeration date
06/08/2015
Last updated
08/30/2021
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