Green, Jeffrey Michael
Green, Jeffrey Michael is an individual health care provider with primary practice located at 4745 Sutton Park Ct Ste 501 , Jacksonville FL 32224-0251. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Jeffrey Michael can be contacted via phone (904) 503-5464.Contact Information
Primary practice address
4745 Sutton Park Ct Ste 501
Jacksonville FL 32224-0251
Phone: (904) 503-5464
Fax: (904) 575-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA3530 | Florida |
Profile Details
| NPI number | 1912979584 |
|---|---|
| LBN Legal business name | Green, Jeffrey Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Sep 11th, 2023 - about 3 years 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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