Organization
HAWK HEALTH SYSTEMS LLC
Active
Other names
Madison Life Spring Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HARVEY GREENE III PA-C (MEMBER MANAGER)
(850) 973-9980
Entity
Organization
Contact information
Practice address
248 NE HANCOCK AVE, MADISON, FL 32340-2560
(850) 973-9980
Mailing address
248 NE HANCOCK AVE, PO BOX 173, MADISON, FL 32340-2560
(850) 973-9980
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106677
FL
Other
Enumeration date
10/11/2013
Last updated
10/06/2014
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