Individual provider · Type 1 NPI

Ronaldo Antonio Green, PA-C, ATC

Surgical Physician Assistant · Orlando, FL

NPI number 1619533544 Active

Practice location

60 Columbia St
Orlando, FL 32806-1115

Call (321) 843-2584 Map

Mailing address

121 Habersham Dr
Longwood, FL 32779-4501

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAL4575 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9119963 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1619533544

Ronaldo Antonio Green, PA-C, ATC's National Provider Identifier is 1619533544, issued on May 16, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Apr 29, 2025.