Organization
MOBILE EEG SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY GREEN MD (CEO)
(727) 324-3002
Entity
Organization
Contact information
Practice address
1261 S FORT HARRISON AVE STE A, CLEARWATER, FL 33756-3352
(727) 286-6005
Mailing address
650 CLEVELAND ST UNIT 992, CLEARWATER, FL 33757-8288
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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