Leslie M Green M.D.

NPI 1013994250 - Medical Genetics, Ph.D. Medical Genetics - 170100000X

NPI Details
NPI 1013994250
Gender Male
Enumeration Date 12/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6320 OLD WINTER GARDEN RD
ORLANDO FL, 32835-1381, US
Phone (407) 290-0555
Fax (407) 295-0028
Business Location
6336 W COLONIAL DR
ORLANDO FL, 32818-7812, US
Phone (407) 447-4283
Fax (407) 447-4274
Toxanomy
Taxonomy Code 170100000X
License State Florida
License Number ME 92185
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According to our database, Leslie M Green M.D. NPI is 1013994250, taxonomy code is 170100000X and license number is ME 92185, license state is located at Florida. Leslie M Green M.D. physically located at 6320 Old Winter Garden Rd, Orlando FL, 32835-1381. NPI Number Leslie M Green M.D. has the Individual type.

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1013994250 NPI number is provided on an as is basis without warranty of any kind. 1013994250 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie M Green M.D. are for informational purposes only.