Individual
XANDER LEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
914 ADDIE LN, MIDDLEBURG, FL 32068-3300
(904) 415-3461
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
12153
GA
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
03/08/2024
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