Individual
MS. EMILY REBEKAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C.
Contact information
Practice address
125 FLORIDA MEMORIAL PKWY, NEW SMYRNA BEACH, FL 32168-9311
(386) 409-6800
Mailing address
125 FLORIDA MEMORIAL PKWY STE 2500, NEW SMYRNA BEACH, FL 32168-9315
(386) 409-6850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119030
FL
Other
Enumeration date
08/22/2024
Last updated
09/20/2024
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