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Individual

DR. DOMINIQUE MARIA FERRO GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ACNPC-AG

Contact information

Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 265-0111
Mailing address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
(229) 226-2237

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9369022
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP9369022
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021687300
FL
01
JB393Z
MEDICARE
FL
Enumeration date
05/25/2017
Last updated
01/28/2022
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