Individual
MS. SHIRLEY A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10104 NE 81ST ST, GAINESVILLE, FL 32609-4600
(352) 231-1660
Mailing address
10104 NE 81ST ST, GAINESVILLE, FL 32609-4600
(352) 231-1660
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
RN1472072
FL
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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