Deanna Mae Green
Pediatrician Pediatric Pulmonologist
601 5th St S Suite 708
St Petersburg
, Florida 33701-4804
Deanna Mae Green
Pediatrician Pediatric Pulmonologist
601 5th St S Suite 708
St Petersburg
, Florida 33701-4804
(727) 767-4146
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About
Features
Specialties
- Pediatrician
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Deanna Mae Green
- 601 5th St S Suite 708
- St Petersburg, FL
- Zip : 33701-4804
- Phone : (727) 767-4146
Second Address
- Deanna Mae Green
- 601 5th St S Suite 708
- St Petersburg, FL
- Zip : 33701-4804
- Phone : (727) 767-4146
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | P19050 | MD |
| N | 2080P0214X | Pediatric Pulmonologist | 2011-00917 | NC |
| Y | 2080P0214X | Pediatric Pulmonologist | ME123996 | FL |
National Provider Identifier
| NPI | 1699824730 |
|---|---|
| Provider Name | Deanna Mae Green |
| First Address | St Petersburg, FL 33701-4804 |
| Second Address | St Petersburg, FL 33701-4804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 08/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P19050 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.