Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | FLME0078059 | FL |
NPI | 1043262389 |
---|---|
Provider Name | Dr. David Greene |
First Address | Naples, FL 34102-5474 |
Second Address | Naples, FL 34102-5499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 09/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G67909 | (02) | FL |
ME78059 | FLORIDA DEPARTMENT OF HEALTH (01) | FL |