Individual
DAVID GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Mailing address
2251 PINE VIEW CIR, SARASOTA, FL 34231-6929
(941) 929-4049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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