David A Green, OD

NPI #1588629828 in Orange Park, Florida

Provider Information

NPI Number: 1588629828
Entity Type: Individual
Name: David A Green, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2023 PROFESSIONAL CENTER DRIVE
City: Orange Park
State: Florida
ZIP Code: 32073
Phone: (904) 272-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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