Individual
DR. MICHAEL A GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
816 US HIGHWAY 1, SEBASTIAN, FL 32958-4141
(772) 581-5848
(772) 581-5849
Mailing address
816 US HIGHWAY 1, SEBASTIAN, FL 32958-4141
(772) 581-5848
(772) 581-5849
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME65689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21810
GROUP BCBS ID
FL
05
—
254440700
—
FL
01
—
330004682
MEDICARE RAILROAD ID
FL
05
—
373207000
—
FL
01
—
593493501
GROUP TAX ID
FL
01
—
68633
INDIVIDUAL BCBS ID
FL
01
—
8179974003
INDIVIDUAL CIGNA ID
FL
Enumeration date
09/22/2005
Last updated
03/31/2025
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