Leslie M Green, M.D.

NPI #1013994250 in Orlando, Florida

Provider Information

NPI Number: 1013994250
Entity Type: Individual
Name: Leslie M Green, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Medical Genetics, Ph.D. Medical Genetics
Credential: M.D.
Enumeration Date: Dec 29, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 6320 OLD WINTER GARDEN RD
City: Orlando
State: Florida
ZIP Code: 32835-1381
Phone: (407) 290-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medical Genetics, Ph.D. Medical Genetics	170100000X	Primary

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