NPI 1013057801

Laura Elizabeth Green, PA

Practitioner Surgical Physician Assistant Ocala, FL

Practice location

Address: 1511 SW 1st Ave, Ocala, FL 34471-6505
Phone: (352) 867-8311
Fax: (352) 867-1053
Mailing address: PO Box 3130, Ocala, FL 34478-3130

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA9104085 (FL)

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Registry record

NPI: 1013057801
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2007
Record last updated: 16 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.