Individual provider · Type 1 NPI

Michael Alan Green, PA-C

Physician Assistant · Lady Lake, FL

NPI number 1730257981 Active

Practice location

630 Griffin Ave
Lady Lake, FL 32159-8101

Call (872) 231-3162 Map

Mailing address

PO Box 22239
New York, NY 10087-0001

Other practice locations

  • 700 N Palmetto St, Leesburg, FL 34748-4419 · (872) 231-3162

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9109683 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

6 other providers at this address

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About NPI 1730257981

Michael Alan Green, PA-C's National Provider Identifier is 1730257981, issued on Dec 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lady Lake, FL. The record was last updated on Nov 21, 2025.