Individual
DAMIAN J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-5321
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-5321
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME167289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8480626
—
WA
Enumeration date
05/15/2007
Last updated
10/31/2024
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