Individual provider · Type 1 NPI

Laura Elizabeth Green, PA

Surgical Physician Assistant · Ocala, FL

NPI number 1013057801 Active

Practice location

1511 SW 1st Ave
Ocala, FL 34471-6505

Fax (352) 867-1053

Mailing address

PO Box 3130
Ocala, FL 34478-3130

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9104085 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1013057801

Laura Elizabeth Green, PA's National Provider Identifier is 1013057801, issued on Feb 8, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ocala, FL. The record was last updated on Apr 16, 2009.