1932148509 NPI number — DR. JOHN ELBERT GREENE M.D.

Table of content: DR. JOHN ELBERT GREENE M.D. (NPI 1932148509)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932148509 NPI number — DR. JOHN ELBERT GREENE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREENE
Provider First Name:
JOHN
Provider Middle Name:
ELBERT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932148509
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
303 N CLYDE MORRIS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAYTONA BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32114-2709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
386-226-4590
Provider Business Mailing Address Fax Number:
386-226-3371

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
311 N CLYDE MORRIS BLVD STE 480
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DAYTONA BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32114-2766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-425-4199
Provider Business Practice Location Address Fax Number:
386-425-4680
Provider Enumeration Date:
06/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  ME12921 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 101632900 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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