Greene, Trevor O

Greene, Trevor O is an individual health care provider with primary practice located at 3550 University Blvd S Ste 203, Jacksonville FL 32216-4226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Greene, Trevor O can be contacted via phone (904) 733-4444.

Contact Information

Primary practice address
3550 University Blvd S Ste 203 Jacksonville FL 32216-4226
Phone: (904) 733-4444
Fax: (904) 733-5377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME 89472 Florida

Profile Details

NPI number 1295739811
LBN Legal business name Greene, Trevor O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Dec 17th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295739811 NPPES
Florida MEDICAID 268976600
Florida Other P00060522
Florida Other 37706

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