Individual provider · Type 1 NPI

Thomas Justin Green Jr., MD

Diagnostic Radiology Physician · Daytona Beach, FL

NPI number 1942207709 Active

Practice location

1673 Mason Ave, Suite 305
Daytona Beach, FL 32117-5515

Call (386) 274-7118 Map

Fax (386) 274-6173

Mailing address

1673 Mason Ave Ste 305
Daytona Beach, FL 32117-5516

Other practice locations

2300 Opitz Blvd, Woodbridge, VA 22191-3311 · (732) 763-9253
400 Health Park Blvd, St. Augustine, FL 32086-5784 · (904) 819-5155
743 Spring St NE, Gainesville, GA 30501-3715 · (770) 219-9000

Specialties and licenses

Taxonomy	Code	License
Body Imaging Physician	2085B0100X	ME 86894 (FL)
Diagnostic Ultrasound Physician	2085U0001X	ME 86894 (FL)
Diagnostic Radiology Physician	2085R0202X	103916 (GA)
Therapeutic Radiology Physician	2085R0203X	ME 86894 (FL)
Neuroradiology Physician	2085N0700X	ME 86894 (FL)
Diagnostic Radiology Physician Primary	2085R0202X	0101102736 (VA)
Nuclear Radiology Physician	2085N0904X	ME 86894 (FL)
Pediatric Radiology Physician	2085P0229X	ME 86894 (FL)
Vascular & Interventional Radiology Physician	2085R0204X	ME86894 (FL)
Diagnostic Radiology Physician	2085R0202X	ME86894 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1942207709

Thomas Justin Green Jr., MD's National Provider Identifier is 1942207709, issued on Jul 7, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 1, 2025.