Individual
BRUCE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 UNDERWOOD ST # MP44, ORLANDO, FL 32806-1110
(417) 399-5477
Mailing address
52 UNDERWOOD ST # MP44, ORLANDO, FL 32806-1110
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TRN43405
FL
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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