Green, Michael Alan

Green, Michael Alan is an sole proprietor health care provider with primary practice located at 630 Griffin Ave , Lady Lake FL 32159-8101. 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, Michael Alan can be contacted via phone (872) 231-3162.

Contact Information

Primary practice address
630 Griffin Ave Lady Lake FL 32159-8101
Phone: (872) 231-3162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109683 Florida

Profile Details

NPI number 1730257981
LBN Legal business name Green, Michael Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Nov 21st, 2025 - about last year

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 1730257981 NPPES
Texas Other 1730257981 BLUE CROSS BLUE SHIELD

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