Organization · Type 2 NPI

Jason Green Do PA

Medical Specialty Clinic/Center · Deerfield Beach, FL

NPI number 1649726316 Active

Practice location

260 SW Natura Ave, Suite 101
Deerfield Beach, FL 33441-3026

Fax (954) 481-0651

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XOS 88871 (FL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1649726316

Jason Green Do PA's National Provider Identifier is 1649726316, issued on Aug 31, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Deerfield Beach, FL. The record was last updated on Aug 31, 2016.