Green, Edward M

Green, Edward M is an individual health care provider with primary practice located at 8260 Gladiolus Dr , Fort Myers FL 33908-4156. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Green, Edward M can be contacted via phone (239) 437-5755.

Contact Information

Primary practice address
8260 Gladiolus Dr Fort Myers FL 33908-4156
Phone: (239) 437-5755
Fax: (239) 437-5776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9325181 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9325181 Florida

Profile Details

NPI number 1770015638
LBN Legal business name Green, Edward M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2017
Last updated Jul 7th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770015638 NPPES
Florida MEDICAID 110669200

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