Individual
DR. ADLAI STEVEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
424 N PARK AVE, APOPKA, FL 32712-4152
(407) 886-0611
(407) 886-2817
Mailing address
424 N PARK AVE, APOPKA, FL 32712-4152
(407) 886-0611
(407) 886-2817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380410100
—
FL
Enumeration date
07/19/2005
Last updated
09/30/2011
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