Individual
EDWARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12995 S CLEVELAND AVE STE 184, FORT MYERS, FL 33907-7703
(239) 226-2727
(239) 939-9876
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9325181
FL
Other
Enumeration date
03/30/2017
Last updated
10/13/2022
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