Leslie M Green
Medical Geneticist
6320 Old Winter Garden Rd
Orlando
, Florida 32835-1381
Leslie M Green
Medical Geneticist
6320 Old Winter Garden Rd
Orlando
, Florida 32835-1381
(407) 447-4274
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Leslie M Green
- 6336 W Colonial Dr
- Orlando, FL
- Zip : 32818-7812
- Fax : (407) 447-4274
- Phone : (407) 447-4283
Second Address
- Leslie M Green
- 6320 Old Winter Garden Rd
- Orlando, FL
- Zip : 32835-1381
- Fax : (407) 295-0028
- Phone : (407) 290-0555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | ME 92185 | FL |
National Provider Identifier
| NPI | 1013994250 |
|---|---|
| Provider Name | Leslie M Green |
| First Address | Orlando, FL 32818-7812 |
| Second Address | Orlando, FL 32835-1381 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I28138 | (02) | FL |
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.