Individual
N J GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
920 NW 8TH AVE, SUITE-B, GAINESVILLE, FL 32601-5071
(352) 373-6869
Mailing address
10437 NW 13TH LN, GAINESVILLE, FL 32606-8094
(352) 331-8296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 25220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8139
BCBS
FL
Enumeration date
06/08/2007
Last updated
07/08/2007
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