Maryellen E Greene, PA-C

NPI #1669521001 in Lecanto, Florida

Provider Information

NPI Number
1669521001
Entity Type
Individual
Name
Maryellen E Greene, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jan 8, 2007
Last Updated
Mar 22, 2012

Practice Location

Address
1990 N PROSPECT AVE
State
Florida
ZIP Code
34461-9792
Phone
(352) 527-6888

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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