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Individual

WILLIAM GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME97539
FL
2084P0800X
Psychiatry Physician
TRN7301
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279170600
FL
Enumeration date
10/16/2006
Last updated
02/20/2017
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