Individual
LOUIS S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
259 NW 95TH TER, CORAL SPRINGS, FL 33071-7317
(954) 804-5561
(954) 796-5893
Mailing address
259 NW 95TH TER, CORAL SPRINGS, FL 33071-7317
(954) 804-5561
(954) 796-5893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3199112
FL
372500000X
Chore Provider
3199112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3199112
FLORIDA RN LICENSE #
FL
Enumeration date
08/01/2012
Last updated
08/01/2012
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