Individual
ELIZABETH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 NE 130TH ST, NORTH MIAMI, FL 33161-7524
(786) 768-5855
Mailing address
625 NE 130TH ST, NORTH MIAMI, FL 33161-7524
(786) 768-5855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
235916
FL
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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