Individual
DR. MICHAEL A GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1821 BLANDING BLVD STE 1, MIDDLEBURG, FL 32068
(904) 406-3160
(904) 406-3159
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS13010
FL
208VP0014X
Interventional Pain Medicine Physician
OS13010
FL
Other
Enumeration date
05/10/2010
Last updated
08/30/2022
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