Green, Melissa J
Green, Melissa J is an sole proprietor health care provider with primary practice located at 2301 N University Dr Suite 108, Pembroke Pines FL 33024-3617. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Green, Melissa J can be contacted via phone (954) 271-7180.Contact Information
Primary practice address
2301 N University Dr Suite 108
Pembroke Pines FL 33024-3617
Phone: (954) 271-7180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS 11024 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS 11024 | Florida |
Profile Details
| NPI number | 1396932216 |
|---|---|
| LBN Legal business name | Green, Melissa J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Mar 26th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396932216 | NPPES |
| Florida | MEDICAID | 002826900 |
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