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Contact Information

MELISSA J GREEN, DO
2301 N UNIVERSITY DR
SUITE 108
PEMBROKE PINES, FL33024-3617
 Phone: 954-271-7180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for MELISSA J GREEN · (Female)

NPI # 1396932216
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/25/2007
Last updated 03/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS 11024
  • FL Medicaid 002826900
Hospital affiliation(s)
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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