Organization
HAWK HEALTH SYSTEMS LLC
Active
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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