Individual
MR. ALBERT HARRIS GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, EMT
Contact information
Practice address
2504 CREWS LAKE HILLS LOOP N, LAKELAND, FL 33813-3861
(863) 670-4311
(863) 644-8650
Mailing address
2504 CREWS LAKE HILLS LOOP N, LAKELAND, FL 33813-3861
(863) 670-4311
(863) 644-8650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1026
FL
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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